Active NPI
Jung Feng Pan, D.D.S
- Prosthodontics
- Temple City, CA
National Provider Identifier
1902954084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 39863
- Practice address
- 5799 Rosemead Blvd
Temple City, CA 91780-1852 - Phone
- (626) 287-2616
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 39863 | CA | Primary |
Addresses
Primary practice location
5799 Rosemead Blvd
Temple City, CA 91780-1852
Mailing address
5799 N. Rosemead Blvd
Temple City, CA 91780-1852
Phone (626) 287-2616
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902954084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5799 N. ROSEMEAD BLVD",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801852",
"telephone_number": "626-287-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5799 ROSEMEAD BLVD",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801852",
"telephone_number": "626-287-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "JUNG FENG",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "39863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.