Individual provider Active NPI

Lester Chaowen Pan, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1598790826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A055280 Issued in CA
Practice address
1740 Fruitridge Rd
Suite 101
Sacramento, CA 95822-3037
Phone
(916) 391-7200
Fax
(916) 391-7772
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A055280 CA Primary

Addresses

Primary practice location

1740 Fruitridge Rd
Suite 101
Sacramento, CA 95822-3037

Mailing address

1740 Fruitridge Rd
Suite 101
Sacramento, CA 95822-3037
Phone (916) 391-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000633 CA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 6406914027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wu and Pan Medical AssociatesGroup PAC ID 0446299515, 2 clinicians

Practice addresses (Care Compare)

7248 S Land Park Dr
Suite 118
Sacramento, CA 95831-3661
Phone (916) 678-6760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055280CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wu and Pan Medical Associates Internal Medicine CurrentSince Sep 1, 1998 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1740 Fruitridge Rd
Sacramento, CA 95822
Phone (916) 391-7200

1740 Fruitridge Rd
Ste 101
Sacramento, CA 95822
Phone (916) 391-7200

7248 S Land Park Dr
Ste 118
Sacramento, CA 95831
Phone (916) 391-7200

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598790826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 FRUITRIDGE RD",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223037",
            "telephone_number": "916-391-7200",
            "fax_number": "916-391-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 FRUITRIDGE RD",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223037",
            "telephone_number": "916-391-7200",
            "fax_number": "916-391-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "LESTER",
        "middle_name": "CHAOWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A055280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.