CHERYL PAN (NPI# 1750486239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750486239 |
| Entity Type | Individual |
| Full Name | CHERYL PAN |
| Credential | MD |
| Practice Address |
750 S Bascom Ave Ob/gyn Clinic-bascom San Jose CA 95128-2603 |
| Mailing Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4088855550 |
| Mailing Telephone | 4088855000 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A70582 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A705820 | 05 |
| Street Address |
750 S BASCOM AVE OB/GYN CLINIC-BASCOM |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598449 | County of Santa Clara | Clinic/Center | 750 S Bascom Ave, Valley Health Center At Bascom, San Jose, CA 95128-2603 | 2005-09-12 |
| 1386193951 | Shelley Wood | Dietitian, Registered | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2016-09-23 |
| 1942605282 | Semhar Hailemicael | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2014-10-29 |
| 1154740033 | Alison Chiang | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128 | 2014-04-08 |
| 1962833004 | Annette Watts | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-11-27 |
| 1790128163 | Iliana Harrysson | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-16 |
| 1578806808 | Elvera Sofos | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-04 |
| 1215290663 | Marie Eusalind Tottoc | Pharmacist | 750 S Bascom Ave, Pharmacy, Suite 120, San Jose, CA 95128-2603 | 2012-06-20 |
| 1881952588 | Christine Le | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-05-01 |
| 1982961587 | Yvonne Phan | Pharmacist | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164929386 | Timothy M Nardine Md Medical Corporation | Obstetrics & Gynecology | 2530 Berryessa Rd Ste 218, San Jose, CA 95132-2903 | 2018-04-13 |
| 1689015349 | Thomas T H Lin Md Inc. | Obstetrics & Gynecology | 2405 Forest Ave., Suite 201, San Jose, CA 95128-1520 | 2013-07-10 |
| 1356601553 | Connie U Yeung | Obstetrics & Gynecology | 2585 Samaritan Dr Ste 101c, San Jose, CA 95124-4117 | 2012-05-22 |
| 1235409301 | Eduardo A. Vergara M.d. A Medical Corporation | Obstetrics & Gynecology | 2039 Forest Ave, 205-a, San Jose, CA 95128 | 2012-01-06 |
| 1669768420 | Maria A. Rodriguez Ballestas | Obstetrics & Gynecology | 2400 Samaritan Dr Ste 105, San Jose, CA 95124-3910 | 2011-06-21 |
| 1912224130 | Irene Cheng | Obstetrics & Gynecology | 1671 The Alameda Ste 101, San Jose, CA 95126-2222 | 2010-04-27 |
| 1013148998 | Kim Pham | Obstetrics & Gynecology | 1804 Mclaughlin Ave, San Jose, CA 95122-2902 | 2009-07-27 |
| 1790958049 | Anil Singhal | Obstetrics & Gynecology | 449 London Park Ct, San Jose, CA 95136-2021 | 2008-04-08 |
| 1437321866 | Lakshmi Bangalore Vatsan Sri | Obstetrics & Gynecology | 1299 Water Lily Way, Ste 90, San Jose, CA 95129-2868 | 2008-03-26 |
| 1154450302 | Steven P. Vo | Obstetrics & Gynecology | 2114 Senter Rd Ste 10, San Jose, CA 95112-2608 | 2007-03-05 |
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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.