Jacob C. Fan, MD
Pediatrics Physician · Los Angeles, CA
Jacob C. Fan, MD is a pediatrics physician with a practice address in Los Angeles, California, and NPI 1902954894, issued on Jan 8, 2007. Check the license (California G17662, as entered in NPPES) on the Medical Board of California; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacob C. Fan
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- G17662 CA
Self-reported in NPPES; status is on the state search - Practice location
- 6041 Cadillac Ave, Los Angeles, CA 90034
- Phone
- (323) 857-2000
- Enumerated
- Jan 8, 2007
- Record last updated
- Nov 29, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicaid ID
- 00G176620 CA
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 9,272 in California → Look up another NPI →
Also registered at 6041 Cadillac Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Blasius AgumPsychiatric/Mental Health Nurse Practitioner1063293207
Verify Jacob C. Fan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G17662Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacob C. Fan among 9,272 pediatrics physician records in California
Jacob C. Fan, MD is one of 9,272 pediatrics physician records with a practice address in California. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 44% of them.
- NPI issued2007 · 44% of these records are older, 43% newer
- In a Medicare fileNo · 31% of these records are
- In the CMS Doctors and Clinicians fileNo · 8% of these records are
- Record last updated2007 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
919 pediatrics physician records list a practice address in Los Angeles
They are 919 of the 69,537 NPPES records with a practice address in Los Angeles, and 9,272 pediatrics physician records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 9,272 in California → Every provider in Los Angeles → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
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- Nicolas Campero, MDLos Angeles, CA 900341831247857
- Erique Emel, MDLos Angeles, CA 900341811045602
- Mark Haendel, MDLos Angeles, CA 900341740351774
- Stephanie Leong, MDLos Angeles, CA 900341114086873
- Kirk Luetkehans, MDLos Angeles, CA 900341215900196
- Karina Maher, MDLos Angeles, CA 900341770642431
Common questions
What is Jacob C. Fan, MD's NPI number?
Jacob C. Fan, MD's National Provider Identifier (NPI) is 1902954894, issued on Jan 8, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jacob C. Fan, MD located?
The NPPES record lists a practice address at 6041 Cadillac Ave, Los Angeles, CA, 90034. Phone: (323) 857-2000. Providers update this record themselves, so call before visiting.
How can I verify Jacob C. Fan, MD's license?
NPPES lists California license number G17662, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.