Individual provider · Type 1 NPI
Benjermin Fan
Nurse Practitioner · Pasadena, CA
Practice location
3849 E Foothill Blvd
Pasadena, CA 91107-2204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95031818 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | 95031818 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1669333167
Benjermin Fan's National Provider Identifier is 1669333167, issued on Nov 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pasadena, CA. The record was last updated on Dec 4, 2025.