Organization Active NPI

Anthony S. Pan, D.M.D., Inc.

  • General Practice Dentistry
  • South El Monte, CA
National Provider Identifier
1396189114
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59548 Issued in CA
Legal business name
ANTHONY S. PAN, D.M.D., INC.
Practice address
9328 Garvey Ave
Suite a
South El Monte, CA 91733-4602
Phone
(626) 350-0588
Fax
(626) 350-0989
NPI assigned
Apr 23, 2013
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Dr. Anthony Sung-En Pan, D.M.D.NPI 1376858811
Title
Owner
Phone
(626) 350-0588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59548 CA Primary

Addresses

Primary practice location

9328 Garvey Ave
Suite a
South El Monte, CA 91733-4602

Mailing address

9328 Garvey Ave
Suite a
South El Monte, CA 91733-4602
Phone (626) 350-0588

National Provider Directory

National Provider Directory

Locations

9328 Garvey Ave
Ste A
South El Monte, CA 91733
Phone (626) 350-0588

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1396189114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 GARVEY AVE",
            "address_2": "SUITE A",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917334602",
            "telephone_number": "626-350-0588",
            "fax_number": "626-350-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 GARVEY AVE",
            "address_2": "SUITE A",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917334602",
            "telephone_number": "626-350-0588",
            "fax_number": "626-350-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY S. PAN, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "SUNG-EN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-350-0588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.