Active NPI
Dorothy Y Pang, L.AC.
- Acupuncturist
- San Bruno, CA
National Provider Identifier
1235213877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11286
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11286 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pang Acupuncture and Wellness Inc | Acupuncturist | Current | 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.
-
- Acupuncturist
- South San Francisco, CA
- NPI 1972363117
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.