Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Peng Thim Fan, M.D.
Specialist in North Hollywood, CA · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104801463
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Registry record
Entity type Individual (Type 1)
Name Dr. Peng Thim Fan
Credential M.D.
Sex Male
Practice address 12660 Riverside Dr, North Hollywood, CA, 91607
Phone (818) 980-7010
Fax (818) 980-7330
Enumeration date Dec 9, 2005
Last updated in NPPES Sep 26, 2011
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104801463 active?
Yes, as of the latest NPPES snapshot, NPI 1104801463 is active (record last updated 2011-09-26).
How do I verify Peng Fan's NPI record?
Cross-check NPI 1104801463 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-26.