DR. WAYNE PAN (NPI# 1114265949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114265949 |
| Entity Type | Individual |
| Full Name | DR. WAYNE PAN |
| Credential | MD, PHD, MBA |
| Practice Address |
1475 Grandview Dr Ms 354-g, Room 354171 South San Francisco CA 94080-4901 |
| Practice Telephone | 6504676531 |
| Mailing Telephone | 6504676531 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2016-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
G84772 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1475 GRANDVIEW DR MS 354-G, ROOM 354171 |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027050 | Bay Area Surgical Specialists | Orthopaedic Surgery | 2505 Samaritan Dr Ste 208, San Jose, CA 95124-4008 | 2019-01-16 |
| 1316484504 | James Angus Turner | Orthopaedic Surgery | 2190 Washington St, Suite 404, San Francisco, CA 94109-2869 | 2017-01-25 |
| 1477906717 | Phuc Dang, Md Corporation | Orthopaedic Surgery | 1006 Mission Dr Apt A, Suite 200, Costa Mesa, CA 92626-4217 | 2016-07-21 |
| 1528423506 | H. Relton Mccarroll Jr. Md A Medical Corporation | Orthopaedic Surgery | 2351 Clay St Ste 510, San Francisco, CA 94115-1931 | 2015-12-17 |
| 1598174492 | Paul J. Casey, Md Inc | Orthopaedic Surgery | 969 Blue Heron, Seal Beach, CA 90740-5611 | 2014-08-05 |
| 1023428901 | Austin Arlo Pitcher | Orthopaedic Surgery | 3315 Broadway Fl 1, Oakland, CA 94611-5717 | 2014-05-01 |
| 1932547536 | Hassan Jon Azimi | Orthopaedic Surgery | 8008 Frost St Ste 403, San Diego, CA 92123-4209 | 2013-06-06 |
| 1720348162 | Ryu Yoshida | Orthopaedic Surgery | 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 | 2012-05-19 |
| 1285933424 | Anna Marie Acosta | Orthopaedic Surgery | 1760 Termino Ave Ste 308, Long Beach, CA 90804 | 2011-03-25 |
| 1508161472 | Nancy Lynch | Orthopaedic Surgery | 210 42nd Ave, San Mateo, CA 94403-5002 | 2011-01-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.