LIFAN FAN MD NPI 1639810567

NPI Information

  • NPI: 1639810567
  • Provider Name: LIFAN FAN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 60 MDG/SGGE
    101 BODIN CIRCLE
    TRAVIS AFB, CA
    ZIP 94535
  • Phone: (707) 423-3825

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NPI Details

Lifan Fan, MD is an emergency medicine in Travis Afb, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Lifan Fan, MD NPI is 1639810567. 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:

60 MDG/SGGE
101 BODIN CIRCLE
TRAVIS AFB, CA
ZIP 94535-809
Phone: (707) 423-3825

The enumeration date for this NPI number is 4/5/2022 and was last updated on 7/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine326931NEW YORKYes

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: 11/21/2025

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