Gary K. T. Pang, a Professional Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A78054 Issued in CA

Legal business name

GARY K. T. PANG, A PROFESSIONAL CORPORATION

Practice address

6900 Brockton Ave
Riverside, CA 92506-3801

Phone

(951) 784-7111

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Kin Tet Pang, MD

Title

Physician/Owner

Phone

(909) 838-6448

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamilton Chen, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Riverside, CA
  • NPI 1700019528
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1427246529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26439 ANTONIO CIR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546763",
            "telephone_number": "909-838-6448",
            "fax_number": "909-796-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063801",
            "telephone_number": "951-784-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY K. T. PANG, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KIN TET",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "909-838-6448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A78054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Garrido, NONE
• Roseanne Garrison, PA-C
• Sabrina Yap Garrovillas, RN, MSN, FNP-C
• Kerolos Adel Labib Beshir Garss
• Yu-Ping Garthwaite, MPH, RDN
• Gary M Fishberg O D Prof Corp
• Gary M. Feinberg ENT, Inc.
• Gary M. Feinberg, MD, Facs, Inc.
• Alanna Mariah Garza
• Elisabeth Fernandez Garza

• Pain Medicine (Anesthesiology) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.