Dali Fan
Medical Specialty
Professional ID
- NPI: 1245289545
- PECOS ID: 2860475563
- Enrollment ID: I20100706000800
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1989
Hospital Service
- Hospital CCN1: 050599
- Business Name (LBN)1: University Of California Davis Medical Center
- Hospital CCN2: 050336
- Business Name (LBN)2: Lodi Memorial Hospital
- Hospital CCN3: 050133
- Business Name (LBN)3: Rideout Memorial Hospital
- Hospital CCN4: 050254
- Business Name (LBN)4: Marshall Medical Center
- Hospital CCN5: 050108
- Business Name (LBN)5: Sutter Medical Center, Sacramento
Medical Practices
- Organization Name: Regents Of The Univ Of Ca
- Group Practice ID assigned by PECOS: 3375456619
- Number of Group Practice member: 1038
Location
- Address1: 2315 Stockton Blvd
- Address2:
- City: Sacramento
- State: California
- Zip Code: 95817
- Phone Number: (916)734-2011
Location
- Address1: 4860 Y St
- Address2:
- City: Sacramento
- State: California
- Zip Code: 95817
- Phone Number: (800)282-3284
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes