Ms. Stephanie Fan is a San Diego, California based nurse anesthetist with 17 years of experience as Anesthesia Administration. She completed she graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Stephanie Fan is 143564 for Anesthesia Administration in Missouri. Her current practice location is 4647 Zion Ave, San Diego. Patients can reach her at 619-528-7266 or can fax her at 619-528-6161. Ms. Stephanie Fan is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1841443868. Ms. Stephanie Fan is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Ms. Stephanie Fan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
4647 Zion Ave, San Diego, California, 92120-2507
Phone:
619-528-7266
Fax:
619-528-6161
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3173672565
Enrollment ID:
I20150713002823
NPI Number:
1841443868
NPI Enumeration Date:
04 Nov, 2008
NPI Last Update On:
13 Dec, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Stephanie Fan are as mentioned below.
License Number
Specialization
State
Status
143564
Anesthesia Administration
Missouri
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ms. Stephanie Fan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southern California Permanente Medical Group (6002729175)
7677
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Stephanie Fan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
600420015
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4647 Zion Ave, San Diego, California
Zip:
92120-2507
Phone Number:
619-528-7266
Fax Number:
519-528-6161
Patients can reach Ms. Stephanie Fan at 4647 Zion Ave, San Diego, California or can call to book an appointment on 619-528-7266.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.