Patrick T. Pan, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61505 Issued in CA

Legal business name

PATRICK T. PAN, MD INC

Practice address

351 Hospital Rd
Suite 407
Newport Beach, CA 92663-3506

Phone

(949) 200-7307

Fax

(949) 200-7456

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Patrick Pan, MDNPI 1922057587

Title

President

Phone

(949) 200-7307

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Patrick T. Pan, MD

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1922057587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1518093467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 407",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633506",
            "telephone_number": "949-200-7307",
            "fax_number": "949-200-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 407",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633506",
            "telephone_number": "949-200-7307",
            "fax_number": "949-200-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK T. PAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-200-7307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A61505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Mario Patragnoni Jr., MD
• Patricia Bitar Licensed Clinical Social Worker Inc.
• Patricia Korber, M.D., a Professional Corporation
• Patricia Shih-Ting Tsai MD Inc
• Patrick Francis Sheehy and Arlene Gwon MDS Inc
• Patriot Physician Readers
• Brett Lewis Patterson, PH.D.
• Michaila Meili Patterson
• Shane Andrew Patterson, RADT
• Timothy James Patterson, PA-C

• Internal Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.