STACY FANG


Address: 1100 Van Ness Ave, San Francisco, CA 94109
Phone: 4157507050

STACY FANG (NPI# 1558763250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558763250
Entity Type Individual
Full Name STACY FANG
Credential M.D.
Practice Address 1100 Van Ness Ave
San Francisco
CA 94109
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 4157507050
Practice Fax Number 4153691389
Mailing Telephone 4157507050
Mailing Fax Number 4153691389
Enumeration Date 2014-09-24
Last Update Date 2019-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology A140045 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE MEDICAL LICENSE A140045 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 W Carson St # 3, Torrance, CA 905022004 3102223886 3107828148
1580 Valencia St Ste 802, San Francisco, CA 941104415 4157507050 4153691388
1375 Sutter St Ste 308, San Francisco, CA 941095466 4157507050 4153691388

Office Location

Street Address 1100 VAN NESS AVE
City SAN FRANCISCO
State CA
Zip Code 94109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457333973 Jason M. Dimsdale Obstetrics & Gynecology 1100 Van Ness Ave, San Francisco, CA 94109-6978 2005-11-18
1033777982 Carla Michelle Bennett Genetic Counselor, MS 1100 Van Ness Ave, Fouth Floor, San Francisco, CA 94109-6920 2019-06-04
1346783974 Christine Miculob Ainza Nurse Practitioner 1100 Van Ness Ave, San Francisco, CA 94109 2016-11-30
1316344674 Jessica Robinson Physician Assistant 1100 Van Ness Ave, San Francisco, CA 94109-6978 2014-12-01
1528478195 Keith Castaneto Family Medicine 1100 Van Ness Ave, San Francisco, CA 94109-6978 2014-05-05
1396188181 Shamiq Zackria Internal Medicine 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-04-10
1780926808 Jonathan M Wong Internal Medicine 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-03-27
1619217601 Katie E Fields Physician Assistant 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-02-27
1144568239 Lorelei Elaine Labarge Nurse Practitioner 1100 Van Ness Ave, San Francisco, CA 94109-6978 2013-01-23
1134474893 Kien W Chou Acupuncturist 1100 Van Ness Ave, San Francisco, CA 94109-6978 2012-07-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169738 Emmapreet Bal Social Worker 750 Post Street, San Francisco, CA 94109 2020-09-21
1801414669 Hegla Yakeline Fielding Registered Nurse Felton Institute, 1500 Franklin St, San Francisco, CA 94109 2020-07-08
1356991350 Rachel Sit Wong Technician 1280 Ellis St. Apt. 12, San Francisco, CA 94109 2019-09-12
1396392502 Laura Kathryn Strader Student in an Organized Health Care Education/Training Program Community Youth Center, 1038 Post Street, San Francisco, CA 94109 2019-08-22
1821650227 Anita Kathleen O'shea Community Health Worker 730 Polk St 4th Floor, San Francisco, CA 94109 2019-07-05
1275015638 Quenna G Lee Occupational Therapist 1948 California Street, San Francisco, CA 94109 2018-09-02
1659857340 Kaihan Zhong Marriage & Family Therapist 1038 Post Street Community Youth Center, San Francisco, CA 94109 2018-07-16
1144716044 Elaina Barulic Marriage & Family Therapist 2040 Gough St, San Francisco, CA 94109 2018-07-03
1447778048 Yltze Pamela Cubas-moody Dentist 2107 Vanness Ave, San Francisco, CA 94109 2017-09-03
1063939387 Ritu Sen Counselor 815 Hyde Street, Suite 100, San Francisco, CA 94109 2017-08-28
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093057002 Sudhi Trye Obstetrics & Gynecology 81 Langton St, Suite 11, San Francisco, CA 94103-3947 2013-03-18
1851658413 Victoria Stenmark Obstetrics & Gynecology 1260 Minnesota St, Apt 205, San Francisco, CA 94107-3667 2012-04-19
1841566767 Traci Ise Iwamoto Obstetrics & Gynecology 1855 4th St Fl 3, San Francisco, CA 94143-2350 2012-03-25
1275807323 Leonard Arie Rothman Obstetrics & Gynecology 999 Green St, 3102, San Francisco, CA 94133-3662 2012-03-06
1336433309 Maida Taylor Obstetrics & Gynecology 785 Foerster St, San Francisco, CA 94127-2305 2011-06-07
1063719722 Eric Tabas Md Inc Obstetrics & Gynecology 450 Sutter St Ste 1324, San Francisco, CA 94108-4007 2011-02-16
1548572001 Oyoung Kong Obstetrics & Gynecology 10 Wood St, San Francisco, CA 94118-3412 2010-07-12
1548407950 Jean M Yu Obstetrics & Gynecology 2100 Webster St Ste 319, San Francisco, CA 94115-2377 2009-01-07
1598933103 Erica T. Wang Obstetrics & Gynecology 4150 Clement St Bldg 18, San Francisco, CA 94121-1545 2008-02-16
1699988097 Kathryn A Houston Obstetrics & Gynecology 1001 Potrero Ave, 6d, Sfgh Ob-gyn, San Francisco, CA 94110 2007-05-08
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Competitor

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City SAN FRANCISCO
Zip Code 94109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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