John W Fan (NPI# 1780882910, PAC ID# 0042473365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1780882910 |
| PAC ID by PECOS | 0042473365 |
| Professional Enrollment ID | I20120524000493 |
| Full Name | John W Fan |
| Organization Legal Name | KERN RADIOLOGY MEDICAL GROUP INC |
| Address |
3348 Cold Plains Dr Hacienda Heights CA 91745-6313 |
| Phone Number | 6613269600 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7214826460 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050036 | BAKERSFIELD MEMORIAL HOSPITAL |
| 050295 | MERCY HOSPITAL |
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| Address | Phone | Organization |
|---|---|---|
| 2301 Bahamas Dr, Bakersfield, CA 93309-0663 | 6613269600 | KERN RADIOLOGY MEDICAL GROUP INC |
| 3348 Cold Plains Dr, Hacienda Heights, CA 91745-6313 | 6613269600 | KERN RADIOLOGY MEDICAL GROUP INC |
| Organization Legal Name | KERN RADIOLOGY MEDICAL GROUP INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge A Mendoza | Diagnostic Radiology | Kern Radiology Medical Group Inc | 17371 Lido Ln, Huntington Beach, CA 92647-6141 |
| Gregory M Galdino | Diagnostic Radiology | Kern Radiology Medical Group Inc | 2301 Bahamas Dr, Bakersfield, CA 93309-0663 |
| David M Klipper | Diagnostic Radiology | Kern Radiology Medical Group Inc | 4231 Ne Siskiyou St, Portland, OR 97213-1161 |
| William Michael Dunn | Diagnostic Radiology | Kern Radiology Medical Group Inc | 2071 Las Flores Canyon Rd, Malibu, CA 90265-3095 |
| Danilo Le Lima Gomes | Diagnostic Radiology | Kern Radiology Medical Group Inc | 2215 Truxtun Ave, Bakersfield, CA 93301-3602 |
| David Daniel Yuan | Diagnostic Radiology | Kern Radiology Medical Group Inc | 3838 San Dimas St, Suite A120, Bakersfield, CA 93301-2281 |
| Rachel E Brock | Diagnostic Radiology | Kern Radiology Medical Group Inc | 3838 San Dimas St, Suite A120, Bakersfield, CA 93301-2281 |
| Shawn D Isaeff | Diagnostic Radiology | Kern Radiology Medical Group Inc | 2215 Truxtun Ave, Bakersfield, CA 93301-3602 |
| David P Schale | Diagnostic Radiology | Kern Radiology Medical Group Inc | 3838 San Dimas St, Suite A120, Bakersfield, CA 93301-2281 |
| Kyaw N Tun | Diagnostic Radiology | Kern Radiology Medical Group Inc | 3838 San Dimas St, Suite A120, Bakersfield, CA 93301-2281 |
| Street Address |
3348 COLD PLAINS DR |
| City | HACIENDA HEIGHTS |
| State | CA |
| Zip | 91745-6313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnold T Pang | Family Medicine | 15572 Gale Ave, Hacienda Heights, CA 91745-1513 | |
| Toni M Ward | Chiropractic | 15718 E Gale Ave, Hacienda Heights, CA 91745-1518 | |
| Ken J Min | Chiropractic | 1615 S Azusa Ave, Total Health Chiro, Hacienda Heights, CA 91745-3832 | |
| Chun-chieh Jack Shih | Optometry | 1679 S Azusa Ave, Hacienda Heights, CA 91745-3832 | |
| Jane H Liang | Optometry | 2115 S Hacienda Blvd, Hacienda Heights, CA 91745-4243 | |
| Yi Hsiang Lin | Chiropractic | 2020 S Hacienda Blvd, Suite D, Hacienda Heights, CA 91745-4265 | |
| Elaine Kindle | Clinical Social Worker | 2211 S Hacienda Blvd, Suite 103c, Hacienda Heights, CA 91745-4642 | |
| Mark Wen Li | Gastroenterology | 2440 S Hacienda Blvd, Suite 105, Hacienda Heights, CA 91745-4763 | |
| Yaping Liu | Chiropractic | 2440 S Hacienda Blvd, Suite 202, Hacienda Hts, CA 91745-4768 | |
| Ying Y Leung | General Practice | 3038 S Hacienda Blvd, Hacienda Heights, CA 91745-5313 | |
| Find all physicians in zip 91745 | |||
| City | HACIENDA HEIGHTS |
| Zip Code | 91745 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HACIENDA HEIGHTS + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.