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

Christopher Fan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760243315

Christopher Fan is a Nurse Practitioner in San Diego, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (858) 235-0882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1173 Front St, San Diego, CA 92101-3904 — (619) 610-1647

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95026291 (CA)

Record details

NPI number1760243315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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