IndividualActive
Jacob Fan, MD
NPI 1902954894 · Pediatrics Physician · Los Angeles, CA
Jacob Fan, MD is a Pediatrics Physician provider in Los Angeles, CA (NPI 1902954894).
Provider details
- NPI number
- 1902954894
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G17662 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone: (323) 857-2000
Street-level locationGet directions
Mailing address
393 E Walnut St
Pasadena, CA 91188-0001
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-11-29
Frequently asked questions
- What is Jacob Fan's NPI number?
- Jacob Fan's National Provider Identifier (NPI) is 1902954894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Fan's specialty?
- Jacob Fan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob Fan located?
- Jacob Fan's practice location on file with NPPES is 6041 Cadillac Ave, Los Angeles, CA 90034-1702.
- What is Jacob Fan's phone number?
- The practice phone number listed in the NPPES registry for Jacob Fan is (323) 857-2000.
- Is Jacob Fan's NPI active?
- Yes — Jacob Fan's NPI (1902954894) is active in the NPPES registry as of the last update on 2007-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.