Individual provider Active NPI

Hongyu Pan, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1932315579
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A107088 Issued in CA
Practice address
2574 San Bruno Ave
San Francisco, CA 94134-1505
Phone
(415) 391-9686
Fax
(415) 352-5063
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A107088 CA Primary

Addresses

Primary practice location

2574 San Bruno Ave
San Francisco, CA 94134-1505

Mailing address

2574 San Bruno Ave
San Francisco, CA 94134-1505
Phone (415) 391-9686

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
I20091030000496 CA Practitioner - Family Practice 7315084902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

1033 Clement St
San Francisco, CA 94118-2112
Phone (415) 391-9686

1400 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1422 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1450 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686

211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686

2574 San Bruno Ave
San Francisco, CA 94134-1505
Phone (415) 391-9686

82 Leland Ave
San Francisco, CA 94134-2804
Phone (415) 391-9688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107088CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Sep 1, 2009 Accepting new patients
North East Medical Services CurrentSince Sep 1, 2009 Accepting new patients
North East Medical Services Current Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1450 Noriega St
San Francisco, CA 94122

1520 Stockton St
San Francisco, CA 94133

2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 352-5090

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

Interoperability endpoints

  • Direct secure messaging: hpan18467@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1932315579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 SAN BRUNO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341505",
            "telephone_number": "415-391-9686",
            "fax_number": "415-352-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 SAN BRUNO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341505",
            "telephone_number": "415-391-9686",
            "fax_number": "415-352-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "HONGYU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A107088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.