Pelly Fan, MD
NPI 1477631265 · Pediatrics Physician · Oakland, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pelly Fan, MD is a Pediatrics Physician provider in Oakland, CA (NPI 1477631265).
Provider details
- NPI number
- 1477631265
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A61460 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2021-12-13
Frequently asked questions
- What is Pelly Fan's NPI number?
- Pelly Fan's National Provider Identifier (NPI) is 1477631265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pelly Fan's specialty?
- Pelly Fan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pelly Fan located?
- Pelly Fan's practice location on file with NPPES is 275 W Macarthur Blvd, Oakland, CA 94611-5641.
- What is Pelly Fan's phone number?
- The practice phone number listed in the NPPES registry for Pelly Fan is (510) 752-1000.
- Does Pelly Fan accept Medicare?
- Pelly Fan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pelly Fan's NPI active?
- Yes — Pelly Fan's NPI (1477631265) is active in the NPPES registry as of the last update on 2021-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.