Katie Ruth Pang, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A84059 Issued in CA

Practice address

500 N Garfield Ave Ste 102
Monterey Park, CA 91754-1242

Phone

(626) 308-0600

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Southern California Keck School of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 6)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Katie R Pang MD Inc

  • Dermatology Physician
  • Monterey Park, CA
  • NPI 1740476381
  Medicare reassignment NPD Authorized official
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Dermatology

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Ahmc Garfield Medical Center LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Winnie K Pang MD Inc

  • Rheumatology Physician
  • Monterey Park, CA
  • NPI 1952747438
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1750439873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918020286",
            "telephone_number": "626-308-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE STE 102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-308-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 E Shorb St",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918015123",
            "country_code": "US",
            "telephone_number": "626-308-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "KATIE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WA84059A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palu Inc
• Silvia Pan, L.AC
• Tsueyhwa Pan, LCSW
• Yu Pan, PH.D.
• Monthiraporn Pananusorn, D.C.
• Winnie Pang, M.D.
• Ivy Panoy, NP
• Alfonso Parga
• Ashlee Jeehye Park, PHARMD
• Hailey Park

• Dermatology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.
• 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.