Active NPI
Lindsay Nicole Panek, PA-C
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1578098620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63107
- Practice address
- 1563 Mission St
San Francisco, CA 94103-2543 - Phone
- (415) 762-3700
- NPI assigned
- Apr 26, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA63107 | CA | Primary |
Addresses
Primary practice location
1563 Mission St
San Francisco, CA 94103-2543
Mailing address
1530 Union Rd Ste a
Gastonia, NC 28054-2201
Phone (704) 867-6188
Other practice location 1
1530 Union Rd Ste A
Gastonia, NC 28054-2201
Phone (704) 867-6188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-07116 | Other | NC | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63107 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthright 360 | Current | Accepting new patients | |
| Healthright 360 | Current | Accepting new patients | |
| Phoenix Counseling Center | Current | Accepting new patients | |
| Healthright 360 | Past | Accepting new patients |
Locations
2505 Court Dr
Gastonia, NC 28054
Phone (704) 842-6359
1530 Union Rd
Ste A
Gastonia, NC 28054
Phone (704) 861-0271
Interoperability endpoints
- lindsay.panek@foothillspsychshelby.direct.kno2fy.com
- lpanek705667@direct.ochin.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1760427843
-
- Community/Behavioral Health Agency
- Lincolnton, NC
- NPI 1396845004
-
- Specialist
- Gastonia, NC
- NPI 1710012174
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1467988691
-
- Community Health Clinic/Center
- San Mateo, CA
- NPI 1558756536
-
- Community/Behavioral Health Agency
- Shelby, NC
- NPI 1548555873
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1447279310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1578098620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 UNION RD STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542201",
"telephone_number": "704-867-6188",
"fax_number": "704-866-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032543",
"telephone_number": "415-762-3700"
}
],
"practiceLocations": [
{
"address_1": "1530 Union Rd Ste A",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542201",
"country_code": "US",
"telephone_number": "704-867-6188",
"fax_number": "704-866-4437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANEK",
"first_name": "LINDSAY",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "0010-07116",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.