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DR. KATHY FANG M.D. PH.D. NPI 1467422550


NPI Information

NPI: 1467422550
Provider Name: DR. KATHY FANG, M.D., PH.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: GOLDEN STATE DERMATOLOGY ASSOCIATES, INC.

PECOS Registration: Yes

Address:
#118 PLAZA PROFESSIONAL BUILDING
EL CERRITO PLAZA
EL CERRITO, CA
ZIP 94530
Phone: (510) 524-0224
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DR. Kathy Fang, M.D., PH.D. is a specialist in El Cerrito, CA with 42 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Kathy Fang, M.D., PH.D. NPI is 1467422550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

#118 PLAZA PROFESSIONAL BUILDING
EL CERRITO PLAZA
EL CERRITO, CA
ZIP 94530
Phone: (510) 524-0224
Fax: (510) 524-0215

The NPI 1467422550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)

The enumeration date for this NPI number is 1/23/2006 and was last updated on 9/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA55110CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H17510MEDICARE UPINCALIFORNIA
200A551102MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3ZZZ31232ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.