CRYSTAL E. FANCHER M.D. – NPI #1578983193
Surgery

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

CRYSTAL FANCHER is a surgeon located in SANTA MONICA, CA. NPPES has assigned the NPI number 1578983193 to CRYSTAL FANCHER on April 22, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 5 years ago on Jul 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL FANCHER below.

NPI Profile for
CRYSTAL E. FANCHER

NPI Number
1578983193
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CRYSTAL E. FANCHER
Credentials
M.D.
Primary location
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2312
Phone: (310) 582-7096 Fax: (310) 582-7236
2 Other location(s):
1520 San Pablo St Ste 4300
Los Angeles, CA 90033-5330
Phone: (323) 442-8168
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 829-5511
Mailing address
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033-5330
Phone: (323) 442-8168 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086X0206X
- Surgery / Surgical Oncology (Primary)
CA A162160
390200000X
- Student in an Organized Health Care Education/Training Program
CA A162160

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CRYSTAL FANCHER is affiliated with the following medical group(s):
  • HOSPITAL
    • PROVIDENCE SAINT JOHN'S HEALTH CENTER
      2121 SANTA MONICA BLVD
      SANTA MONICA, CA 90404

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