Pelly Fan
MD | Pediatrics | Female
Pelly Fan, MD is a Oakland, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Pelly Fan is
275 W Macarthur Blvd, Oakland, California - 94611-5641. She can be contacted on phone at
510-752-1000.
Pelly Fan is a sole proprietor of her business.
NPI number (Unique professional ID) for Pelly Fan is
1477631265 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 13 Dec, 2021.
Pelly Fan license number is
A61460 for Pediatrics (208000000X) in California.
Pelly Fan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pelly Fan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pelly Fan |
|---|
| Credential : | MD |
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| Gender : | Female |
|---|
Business Address:
Pelly Fan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 275 W Macarthur Blvd
Oakland, CA, 94611-5641
United States |
|---|
| Phone Number : | 510-752-1000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477631265 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Nov, 2006 |
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| Last Updated On : | 13 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pelly Fan are as mentioned. Primary taxonomy code for Pelly Fan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A61460 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Pelly Fan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A614600 | MEDICAID | CA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 275 W MACARTHUR BLVD,
OAKLAND, CA, 94611-5641
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 275 W Macarthur Blvd
Oakland, CA, 94611-5641
United States |
|---|
| Phone Number : | 510-752-1000 |
|---|
Business Location:
Patients can refer following map for directions to
Pelly Fan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.