WEN FAN


Address: 185 Martinvale Lane, San Jose, CA 95119
Phone: 4082070070

WEN FAN (NPI# 1932486172) 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) 1932486172
Entity Type Individual
Full Name WEN FAN
Credential M.A.
Practice Address 185 Martinvale Lane
San Jose
CA 95119
Mailing Address 110 Montevina Way
Hayward
CA 94545-2361
Practice Telephone 4082070070
Enumeration Date 2011-11-15
Last Update Date 2016-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 93489 CA Behavioral Health & Social Service Providers

Other Providers WEN FAN

NPI Name Taxonomy Address Enumeration
1164645750 Wen S Fan Dentist 2039 Forest Ave Ste 306, San Jose, CA 95128-4830 2007-04-11
1457499543 Wen Fan Pathology 10 Nathan D Perlman Place, Suite 12s34, New York, NY 10003-3851 2007-02-02

Office Location

Street Address 185 MARTINVALE LANE
City SAN JOSE
State CA
Zip Code 95119

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1104451194 Arthur Warren Hall Counselor 298 A Bernal Road, San Jose, CA 95119 2020-03-10
1992264774 Jennifer Luu Student in an Organized Health Care Education/Training Program 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 2019-03-19
1194209510 Victoria Marques Pharmacist 275 Hospital Parkway, Suite 625, San Jose, CA 95119 2018-09-21
1780123497 Costco Wholesale Corporation Hearing Aid Equipment 6898 Raleigh Road, San Jose, CA 95119 2017-02-14
1437563855 Mark Douglas Zukunft Emergency Medicine 250 Hospital Pkwy Dept Of, San Jose, CA 95119 2014-06-13
1669896338 Paul J. Zuchowski Chiropractic, A Professional Corporation Chiropractor 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 2014-02-14
1700227873 Yu-chien Cheng Internal Medicine 275 Hospital Pkwy Ste 600, San Jose, CA 95119 2013-07-17
1730432014 Tami Otomo Pharmacist 6201 San Ignacio Ave, San Jose, CA 95119 2012-10-24
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598372377 Ratzburg Family Counseling Corporation Marriage & Family Therapist 465 Chinook Ln, San Jose, CA 95123-3311 2020-09-25
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1083230981 Joanna Leigh Carson-young Marriage & Family Therapist 1769 Park Ave Ste 220, San Jose, CA 95126-2025 2020-06-17
1144857467 Glenn M Tanimura Marriage & Family Therapist 1079 Noble Ln, San Jose, CA 95132-3128 2020-03-25
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1992339196 Brenda Ann Farrell Marriage & Family Therapist 1625 The Alameda Ste 711, San Jose, CA 95126-2225 2020-02-26
1619507472 Michelle Marie Wambach Marriage & Family Therapist 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 2020-01-21
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1497398002 Veronica Marie Ayala Marriage & Family Therapist 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 2019-10-26
1700428224 Lynn Huggins Marriage & Family Therapist 1625 The Alameda Ste 304, San Jose, CA 95126-2223 2019-10-16
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Competitor

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City SAN JOSE
Zip Code 95119

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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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