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

Lucinda Fan, PA-C

Individual provider Physician Assistant · NPI 1578232534

Lucinda Fan, PA-C is a Physician Assistant in San Diego, California. Graduated from George Washington University School of Medicine in 2021, 5 years ago. Practices with San Diego Gastroenterology Medical Associates, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
5
Trained at
George Washington University School of Medicine
Licensed in
CA, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4060 Fourth Ave Ste 240
San Diego, CA 92103-2120
Phone: (619) 291-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3028 Javier Rd Ste 300, Fairfax, VA 22031-4622 — (703) 698-8960
  • 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 — (703) 698-8960

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008048 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 59936 (CA)

Record details

NPI number1578232534
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2021
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice San Diego Gastroenterology Medical Associates — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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