VIVIEN L PAN M.D. NPI 1902903164

NPI Information

  • NPI: 1902903164
  • Provider Name: VIVIEN L PAN, M.D.
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27800 MEDICAL CENTER RD
    STE 100
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 364-4428

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NPI Details

Vivien L Pan, M.D. is a neonatal-perinatal medicine pediatrics in Mission Viejo, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Vivien L Pan, M.D. NPI is 1902903164. 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:

27800 MEDICAL CENTER RD
STE 100
MISSION VIEJO, CA
ZIP 92691-410
Phone: (949) 364-4428
Fax: (949) 364-4230

The NPI 1902903164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/30/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080N0001XPediatricsNeonatal-Perinatal MedicineA71280CALIFORNIAYes
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineA71280CALIFORNIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A712800MEDICAIDCALIFORNIA
2A71280OTHERCALIFORNIASTATE LICENSE

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: 11/21/2025

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