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

Benjermin Fan

Individual provider Nurse Practitioner · NPI 1669333167

Benjermin Fan is a Nurse Practitioner in Pasadena, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3849 E Foothill Blvd
Pasadena, CA 91107-2204
Phone: (626) 469-5433
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95031818 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 95031818 (CA)

Record details

NPI number1669333167
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address3849 E Foothill Blvd, Pasadena, CA 91107-2204

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