Lin Pan, LIC. ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 10224 Issued in CA

Practice address

6049 Douglas Blvd
Suite 22
Granite Bay, CA 95746-6284

Phone

(916) 247-8717

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pan Acupuncture & Herb

  • Acupuncturist
  • Granite Bay, CA
  • NPI 1194012013
  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376745380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 BORGATA WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625434",
            "telephone_number": "916-933-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD",
            "address_2": "SUITE 22",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466284",
            "telephone_number": "916-247-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "LIN",
        "name_prefix": "Mrs.",
        "credential": "LIC. ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE #",
            "identifier": "AC 10224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Owen
• Andrew Pace
• Paymaneh Pakyari
• Robert Palvolgyi, PT, DPT
• Pan Acupuncture & Herb
• Audrey Panaligan
• Trevor Pargas
• Cdia Parker
• Elizibeth Patton
• Mario R Pena Carranza

• Acupuncturist in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.