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AUDREY Y. PAN D.O. NPI 1215946496


NPI Information

NPI: 1215946496
Provider Name: AUDREY Y. PAN, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3160 FOLSOM BLVD
SACRAMENTO, CA
ZIP 95816
Phone: (916) 733-5336
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Audrey Y. Pan, D.O. is a family medicine in Sacramento, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Audrey Y. Pan, D.O. NPI is 1215946496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3160 FOLSOM BLVD
SACRAMENTO, CA
ZIP 95816-219
Phone: (916) 733-5336
Fax: (916) 733-5385

The enumeration date for this NPI number is 8/5/2006 and was last updated on 9/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A8667CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000810568272OTHERCALIFORNIAPHCS
22358909OTHERCALIFORNIAUNITED HEALTHCARE
390136584OTHERCALIFORNIAPACIFICARE
499081OTHERCALIFORNIAINTERPLAN
5MCMG274500OTHERCALIFORNIAWESTERN HEALTH ADVANTAGE
65013958OTHERCALIFORNIACIGNA
7020A86670MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
81708821OTHERCALIFORNIAGREAT WEST
9H96326MEDICARE UPIN
10102632OTHERCALIFORNIAHEALTH NET
1120A8667OTHERCALIFORNIABLUE CROSS
122149412OTHERCALIFORNIAFIRST HEALTH
137810479OTHERCALIFORNIAAETNA
1400AX86670MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.