Mark S Fan (NPI# 1164685632, PAC ID# 0345373189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1164685632 |
| PAC ID by PECOS | 0345373189 |
| Professional Enrollment ID | I20180703003241 |
| Full Name | Mark S Fan |
| Organization Legal Name | OBHG CALIFORNIA, P.C. |
| Address |
2450 Ashby Ave Berkeley CA 94705-2067 |
| Phone Number | 5102044444 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8729276795 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| Address | Phone | Organization |
|---|---|---|
| 2450 Ashby Ave, Berkeley, CA 94705-2067 | 5102044444 | OBHG CALIFORNIA, P.C. |
| Organization Legal Name | OBHG CALIFORNIA, P.C. |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon D Washington | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Kevin L Fulford | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Monica Sum Yee Lee | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Debra L Stewart | Obstetrics/gynecology | Obhg California, P.C. | 420 34th St, Bakersfield, CA 93301-2237 |
| Diana Nhung Tran | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Jana A Thor | Obstetrics/gynecology | Obhg California, P.C. | 420 34th St, Bakersfield, CA 93301-2237 |
| Mark J Harrison | Obstetrics/gynecology | Obhg California, P.C. | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 |
| Andrea R Mendelssohn | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Yekaterina A Bakhta | Obstetrics/gynecology | Obhg California, P.C. | 100 W California Blvd, Pasadena, CA 91105-3010 |
| Tam C Le | Obstetrics/gynecology | Obhg California, P.C. | 450 E Romie Ln, Salinas, CA 93901-4029 |
| Street Address |
2450 ASHBY AVE |
| City | BERKELEY |
| State | CA |
| Zip | 94705-2067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon D Washington | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Gerard D Dang | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Kevin L Fulford | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Monica Sum Yee Lee | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Diana Nhung Tran | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Andrea R Mendelssohn | Obstetrics/gynecology | Obhg California, P.C. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Johnny Chew | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Darrell Ryan Tran | Anesthesiology | East Bay Anesthesiology Medical Group, Inc | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Mariam Kamyab | Nurse Practitioner | Sutter Bay Medical Foundation | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Selena W Ellis | Neurology | 2450 Ashby Ave, Berkeley, CA 94705-2058 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne E Menary | Psychologist, Clinical | 2714 Telegraph Ave, Berkeley, CA 94705-1117 | |
| Claire M Capor | Clinical Social Worker | 2714 Telegraph Ave, Berkeley, CA 94705-1117 | |
| Terris R Dunn | Dermatology | 2828 Telegraph Ave, Berkeley, CA 94705-1119 | |
| Carole A Petiet | Psychologist, Clinical | 2340 Ward St, Suite 105, Berkeley, CA 94705-1146 | |
| Meshulam Plaves | Psychologist, Clinical | 2340 Ward St, Suite 102, Berkeley, CA 94705-1146 | |
| Lila Coulter | Psychologist, Clinical | 2340 Ward St, Suite 105, Berkeley, CA 94705-1146 | |
| Lawrence J Yabroff | Psychologist, Clinical | 2340 Ward St, Suite 102, Berkeley, CA 94705-1146 | |
| Susanna Grace Bernat | Psychologist, Clinical | 2340 Ward St, Suite 104, Berkeley, CA 94705-1146 | |
| Miranda H Jung | Psychologist, Clinical | 2340 Ward St, Suite 101, Berkeley, CA 94705-1146 | |
| Vinod K Kurupath | Gastroenterology | Sutter Bay Medical Foundation | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1159 |
| Find all physicians in zip 94705 | |||
| City | BERKELEY |
| Zip Code | 94705 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BERKELEY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Mark S Fan.
| 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.