Yen Wen Pan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21719 Issued in CA

Practice address

43051 15TH St W
Lancaster, CA 93534-6906

Phone

(747) 238-3771

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1043811854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43560 GADSDEN AVE APT 390",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346122",
            "telephone_number": "747-238-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43051 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346906",
            "telephone_number": "747-238-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "YEN WEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT21719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Palen
• Diana Palencia
• Nicole Breanne Palman, M.S. CCC-SLP
• Palmdale Lancaster Surgery Center
• Palms Residential Living Inc
• Fabiola Paniagua Franco
• Gurnam Singh Pannu, M.D.
• Ferdinand J. Panoussi, D.O
• Jenadey Parada
• Paul Paras

• Occupational Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.