NPIMap

Individual provider Active NPI

Golden Pan, MD

  • Diagnostic Radiology Physician
  • Reno, NV
National Provider Identifier
1508837832
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13079 Issued in NV
Practice address
1155 Mill Street
Reno, NV 89520-1576
Phone
(775) 982-8100
Fax
(775) 982-4161
NPI assigned
Jan 26, 2006
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13079 NV Primary
Diagnostic Radiology Physician 2085R0202X G51110 CA
Diagnostic Radiology Physician 2085R0202X G9508 TX

Addresses

Primary practice location

1155 Mill Street
Reno, NV 89520-1576

Mailing address

PO Box 39000
Dept 34548
San Francisco, CA 94139-0001
Phone (775) 823-1999

Other identifiers 2

IdentifierTypeStateIssuer
00G511100MedicaidCA
00G511100OtherCABS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000669 TX Practitioner - Diagnostic Radiology 7214027036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

921 Gessner Rd
FL 1
Houston, TX 77024-2501
Phone 28187045922120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13079NVMDDiagnostic Radiology Physician
G9508TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Teviah Turkat a Medical Corporation Diagnostic Radiology Past Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology PastSince Mar 22, 2011 Accepting new patients
Fresno Imaging Center Diagnostic Radiology Past Accepting new patients
Portland Imaging Center, LTD Past Accepting new patients
Reno Radiological Associates, Chartered Diagnostic Radiology Past Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology PastSince Aug 26, 2015 Accepting new patients
Pueblo Santa Barbara Women's Imaging Associates, Inc Diagnostic Radiology Past Accepting new patients

Locations

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 492-1334

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

921 Gessner Rd
Fl 1
Houston, TX 77024

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 10

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1508837832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39000",
            "address_2": "DEPT 34548",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941390001",
            "telephone_number": "775-823-1999",
            "fax_number": "775-823-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL STREET",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895201576",
            "telephone_number": "775-982-8100",
            "fax_number": "775-982-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "GOLDEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "13079",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G51110",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G9508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G511100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00G511100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.