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

Dr. Katherine W Fan, MD

Individual provider Pediatrics Physician · NPI 1720283294

Dr. Katherine W Fan, MD is a Pediatrics Physician in Cupertino, California. Practices as a sole proprietor. Licensed in California and Pennsylvania.

Licensed in
CA, PA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20380 Town Center Ln Ste 215
Cupertino, CA 95014-3250
Phone: (408) 996-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence A104114 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence MD429247 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD429247 (PA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD429247 (PA)

Record details

NPI number1720283294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2007
Last updated in NPPESFebruary 25, 2010

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