Organization Active NPI

Pan & Pan Medical Group a Professional Medical Corporation

  • Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1932316510
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A43080 Issued in CA
Legal business name
PAN & PAN MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
Practice address
2621 S Bristol St
Suite 208
Santa Ana, CA 92704-5766
Phone
(714) 540-0301
Fax
(714) 540-0311
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Kwei-Min Pan, M.D.
Title
President
Phone
(714) 540-0301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A43080 CA Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X A43080 CA

Addresses

Primary practice location

2621 S Bristol St
Suite 208
Santa Ana, CA 92704-5766

Mailing address

2621 S Bristol St
Suite 208
Santa Ana, CA 92704-5766
Phone (714) 540-0301

National Provider Directory

National Provider Directory

Locations

2621 S Bristol St
Ste 208
Santa Ana, CA 92704
Phone (714) 210-2450

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1932316510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "SUITE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045766",
            "telephone_number": "714-540-0301",
            "fax_number": "714-540-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "SUITE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045766",
            "telephone_number": "714-540-0301",
            "fax_number": "714-540-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN & PAN MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "KWEI-MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-540-0301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A43080",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A43080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.