Active NPI
Judong Pan, M.D.
- Diagnostic Radiology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 105980
- Practice address
- 505 Parnassus Ave
M-391
San Francisco, CA 94143-2204 - Phone
- (415) 476-8358
- Fax
- (415) 476-0616
- NPI assigned
- Nov 24, 2008
- Last updated
- Nov 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 105980 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Ave
M-391
San Francisco, CA 94143-2204
Mailing address
505 Parnassus Ave
M-391
San Francisco, CA 94143-2204
Phone (415) 476-8358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay Imaging Consultants Medical Group Inc
Practice addresses (Care Compare)
1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646
1320 Travis Blvd
Suite C
Fairfield, CA 94533-4654
Phone (707) 646-4000
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (925) 296-7150
400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000
400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000
500 Ala Moana Blvd
Suite 7 421
Honolulu, HI 96813-4902
Phone (925) 296-7150
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- Good Samaritan Hospital
- El Camino Health
- Santa Clara Valley Medical Center
- Sutter Delta Medical Center
- Sutter Solano Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 81.13
- Improvement activities
- 40
- Cost
- 71.5
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105980 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of California San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Solano Diagnostics Partners, a Calif Limited Partnership | Diagnostic Radiology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Queens University Medical Group | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | Accepting new patients |
| El Camino Hospital | Past | Accepting new patients | |
| Solano Diagnostics Partners, a Calif Limited Partnership | Diagnostic Radiology | Past | Accepting new patients |
| Bay Imaging Consultants Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 436-2600
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400
2500 Hilborn Rd
Ste 139
Fairfield, CA 94534
5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
#M391
San Francisco, CA 94143
Phone (415) 476-1537
2400 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 403-5996
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1002 Nut Tree Rd
Vacaville, CA 95687
1020 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 624-8066
1020 Nut Tree Rd
Ste 150
Vacaville, CA 95687
300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107
115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245
2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
500 Ala Moana Blvd
Ste 7421
Honolulu, HI 96813
Interoperability endpoints
- jpan125924@santaclaravalley.direct-ci.net
- jpan466925@hisp.ehr.sutterhealth.org
Organizations & group practices 26
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba Solano Diagnostics Imaging
- Diagnostic Radiology Physician
- Fairfield, CA
- NPI 1811940661
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Diagnostic Radiology Physician
- Honolulu, HI
- NPI 1134681067
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
dba Sutter Delta Medical Center
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
-
dba Sutter Solano Medical Center
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1417102021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "M-391",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-476-8358",
"fax_number": "415-476-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "M-391",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-476-8358",
"fax_number": "415-476-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "JUDONG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "105980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.