NANCY FAN


Address: 750 S Bascom Ave Ste 200, San Jose, CA 95128-2603
Phone: 4088855940

NANCY FAN (NPI# 1952680035) 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) 1952680035
Entity Type Individual
Full Name NANCY FAN
Credential RD
Practice Address 750 S Bascom Ave Ste 200
San Jose
CA 95128-2603
Mailing Address 7102 Clarendon St
San Jose
CA 95129-3507
Practice Telephone 4088855940
Enumeration Date 2011-08-08
Last Update Date 2011-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
REGISTERED DIETITIAN R608006 01

Other Providers NANCY FAN

NPI Name Taxonomy Address Enumeration
1336142751 Nancy Fan Obstetrics & Gynecology 1100 N Grant Ave, 2nd Floor, Wilmington, DE 19805-2671 2005-05-31
1265531016 Nancy Fan Radiology 2800 Marcus Ave, New Hyde Park, NY 11042-1008 2006-09-21

Office Location

Street Address 750 S BASCOM AVE STE 200
City SAN JOSE
State CA
Zip Code 95128-2603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
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1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
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1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255957056 Jingze Tian Dietitian, Registered 200 Jose Figueres Ave Ste 325, San Jose, CA 95116-1592 2020-06-18
1265055370 Zero Infinity, Inc Dietitian, Registered 1835 Camino Leonor, San Jose, CA 95131-1781 2020-05-22
1881215549 Allen Twu Dietitian, Registered 3195 Mabury Rd, San Jose, CA 95127-1020 2020-05-04
1114570876 Katherine Berger Dietitian, Registered 791 Delaware Ave Apt 2, San Jose, CA 95123-5425 2019-07-22
1982164786 Elizabeth Ann Ruvalcaba Dietitian, Registered 3110 Rubino Dr Apt 210, San Jose, CA 95125-6375 2019-03-20
1801353693 Mary B Hall Dietitian, Registered 507 Brooks Ave, San Jose, CA 95125-1620 2019-02-27
1215406327 Angela Hays Dietitian, Registered 1843 Comstock Ln, San Jose, CA 95124-1707 2018-11-19
1851871073 Ruben Jordan Vargas IIi Dietitian, Registered 602 E Santa Clara St Ste 130, San Jose, CA 95112-1910 2018-08-16
1073009502 Huong Lien Nguyen Dietitian, Registered 1023 Bellingham Dr, San Jose, CA 95121-2311 2018-07-09
1356847156 Tugba Bayrak Dietitian, Registered 489 Waskow Dr, San Jose, CA 95123-4956 2018-04-02
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Competitor

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City SAN JOSE
Zip Code 95128

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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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