Organization Active NPI

Ou & Pan Chiropractic Services Inc

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1225250467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28013 Issued in CA
Legal business name
OU & PAN CHIROPRACTIC SERVICES INC
Practice address
212 9TH St
#304
Oakland, CA 94607
Phone
(510) 452-0030
Fax
(510) 452-0130
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yi Ou, DCNPI 1558306258
Title
Chiropractor President
Phone
(415) 215-7228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC28013 CA Primary

Addresses

Primary practice location

212 9TH St
#304
Oakland, CA 94607

Mailing address

212 9TH St
#304
Oakland, CA 94607
Phone (510) 452-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000325 CA Part B Supplier - Clinic/Group Practice 7618061938 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

212 9th St
Ste 110
Oakland, CA 94607
Phone (510) 452-0030

212 9th St
Ste 304
Oakland, CA 94607
Phone (415) 668-2863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225250467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 9TH ST",
            "address_2": "#304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-452-0030",
            "fax_number": "510-452-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 9TH ST",
            "address_2": "#304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-452-0030",
            "fax_number": "510-452-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OU & PAN CHIROPRACTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "CHIROPRACTOR PRESIDENT",
        "authorized_official_telephone_number": "415-215-7228",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.