Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivian Fan

Individual provider Family Nurse Practitioner · NPI 1972323558

Vivian Fan is a Family Nurse Practitioner in San Marino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1437 San Marino Ave
San Marino, CA 91108-2027
Phone: (626) 793-7922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95030461 (CA)

Record details

NPI number1972323558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Other providers in San Marino