Individual provider Active NPI

Dorothy Y Pang, L.AC.

  • Acupuncturist
  • San Bruno, CA
National Provider Identifier
1235213877
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11286 Issued in CA
Practice address
841 San Bruno Ave W RM 10
San Bruno, CA 94066-3437
Phone
(650) 588-0888
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11286 CA Primary

Addresses

Primary practice location

841 San Bruno Ave W RM 10
San Bruno, CA 94066-3437

Mailing address

1966 Tradan Dr
San Jose, CA 95132-3714
Phone (650) 588-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11286CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pang Acupuncture and Wellness Inc Acupuncturist CurrentSince Mar 24, 2024 Accepting new patients

Locations

333 El Camino Real
#A
South San Francisco, CA 94080
Phone (650) 588-0888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1235213877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 TRADAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951323714",
            "telephone_number": "650-588-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W RM 10",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663437",
            "telephone_number": "650-588-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "DOROTHY",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.