Individual provider Active NPI

Judong Pan, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1417102021
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
105980 Issued in CA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120730000688 CA Practitioner - Diagnostic Radiology 2264610609 Reassigns benefits to 11 organizations
I20230608001856 HI Practitioner - Diagnostic Radiology 2264610609 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 9537069125, shared by 6 NPIs, 133 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105980CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jul 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Apr 1, 2022 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 CurrentSince Jul 1, 2017 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2019 Accepting new patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology CurrentSince May 16, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2024 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince May 23, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince May 21, 2022 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

  • Direct secure messaging: jpan125924@santaclaravalley.direct-ci.net
  • Direct secure messaging: 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.

View all 26

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.