Active NPI
Jin Qiang Pan
- Acupuncturist
- Alhambra, CA
National Provider Identifier
1821149949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC10165
- Practice address
- 1145 W Valley Blvd
Alhambra, CA 91803-2440 - Phone
- (626) 284-1968
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC10165 | CA | Primary |
Addresses
Primary practice location
1145 W Valley Blvd
Alhambra, CA 91803-2440
Mailing address
1145 W Valley Blvd
Alhambra, CA 91803-2440
Phone (626) 284-1968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC10165 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1821149949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032440",
"telephone_number": "626-284-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032440",
"telephone_number": "626-284-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "JIN",
"middle_name": "QIANG",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.