Eunyung Christine Pan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17088 Issued in CA

Practice address

3900 Freedom Cir Ste 201
Santa Clara, CA 95054-1222

Phone

(408) 202-7974

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1295239622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 KEYSTONE AVE APT 104",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517154",
            "telephone_number": "201-450-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FREEDOM CIR STE 201",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541222",
            "telephone_number": "408-202-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "EUNYUNG",
        "middle_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2625 Keystone Ave Apt 104",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950517154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aysenur Pakatci
• Jessica Blankley Palacio, ASW
• April Lynne Palacios, RN
• Angel Pan
• Emily Pan, PHARMD
• Mehdi Panahi, D.C.
• Raymond Pandez, DDS
• Anjanpreet Pandher, RD
• Navreen Pandher, DO
• Snehal Jigar Pandya, MS

• Occupational Therapist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.