Active NPI
Panny C Pang, MPT
- Physical Therapist
- Beverly Hills, CA
National Provider Identifier
1164726709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21799
- Practice address
- 9940 Westwanda Dr
Beverly Hills, CA 90210-1427 - Phone
- (310) 994-4098
- NPI assigned
- Dec 22, 2010
- Last updated
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21799 | CA | Primary |
Addresses
Primary practice location
9940 Westwanda Dr
Beverly Hills, CA 90210-1427
Mailing address
9940 Westwanda Dr
Beverly Hills, CA 90210-1427
Phone (310) 994-4098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT21799 | Other | CA | CONSUMER AFFAIR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.57 of 100
- Quality
- 62.42
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 76.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Medical Associates, a Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- panny.pang.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lakeside Community Healthcare Medical Group
- Rheumatology Physician
- Burbank, CA
- NPI 1861499535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1164726709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9940 WESTWANDA DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902101427",
"telephone_number": "310-994-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 WESTWANDA DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902101427",
"telephone_number": "310-994-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "PANNY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSUMER AFFAIR",
"identifier": "PT21799",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.