Xiu Fen Pan, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14378 Issued in CA

Practice address

1840 San Miguel Dr Suite 203
Walnut Creek, CA 94596

Phone

(925) 391-0066

Fax

(925) 940-9523

NPI assigned

Jan 9, 2012

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 names 1

• Ms. Sophia Pan Professional name

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": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1396015269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MAGELLAN DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112636",
            "telephone_number": "415-349-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SAN MIGUEL DR SUITE 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-391-0066",
            "fax_number": "925-940-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "XIU FEN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "PAN",
            "prefix": "MS.",
            "credential": "L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jaysa Lee Palomo
• Richard Neil Paltenghi, M.D.
• Neesha Pammi, M.D.
• Ingrid Zina Pampalone, PA-C
• Gina Pan, MD
• Mita Panchal, M.D.
• Vishal Panchal, M.D.
• Chanita Panchasarp, OTR/L
• Adhiti Pandian
• Mario Ruben Pando

• Acupuncturist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.