Active NPI
Yu Pan
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1427992486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT28648
- Practice address
- 110 41St St
Oakland, CA 94611-5250 - Phone
- (510) 597-6700
- NPI assigned
- Apr 17, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT28648 | CA | Primary |
Addresses
Primary practice location
110 41St St
Oakland, CA 94611-5250
Mailing address
1314 Noble CT
El Cerrito, CA 94530-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400
70 Suite 01
Lakewood, NJ 08701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT28648 | CA | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1427992486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 NOBLE CT",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 41ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115250",
"telephone_number": "510-597-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "YU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT28648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.