Individual provider Active NPI

Yongzhi Pan

  • Acupuncturist
  • Phoenix, AZ
National Provider Identifier
1326554734
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1057 Issued in AZ
Practice address
2730 W Agua Fria Fwy
Suite 200 Office E-20
Phoenix, AZ 85027-7201
Phone
(602) 300-7913
NPI assigned
Dec 20, 2017
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1057 AZ Primary

Addresses

Primary practice location

2730 W Agua Fria Fwy
Suite 200 Office E-20
Phoenix, AZ 85027-7201

Mailing address

27317 N 51St GLN
Phoenix, AZ 85083-7460
Phone (602) 300-7913

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
1057AZMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1326554734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27317 N 51ST GLN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837460",
            "telephone_number": "602-300-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 W AGUA FRIA FWY",
            "address_2": "SUITE 200 OFFICE E-20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850277201",
            "telephone_number": "602-300-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "YONGZHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "1057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.