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

Dr. Randall Fan, MD

Individual provider Anesthesiology Physician · NPI 1609029750

Dr. Randall Fan, MD is an Anesthesiology in New York, New York. Graduated from University of California, Irvine, California College of Medicine in 2007, 19 years ago. Practices with G2 Anesthesia PC, a 103-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
19
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA, NY
In the registry since
2008
Specialties on file
2
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

525 E 68th St
New York, NY 10065-4870
Phone: (212) 746-4376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A121024 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 250249-1 (NY)

Record details

NPI number1609029750
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2008
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice G2 Anesthesia Pc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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