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

Emily Fan

Individual provider Physician Assistant · NPI 1972216109

Emily Fan is a Physician Assistant in Vallejo, California. Qualified in 2025, 1 year ago. Works from 2 locations.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 Aero Jet Ave, El Monte, CA 91731-2801 — (626) 286-8700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972216109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address3401 Aero Jet Ave, El Monte, CA 91731-2801

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Vallejo