OLIVIA PAN M.D.
NPI 1295991800
Pediatrics in Castro Valley, CA

Q: What is Olivia Pan's NPI number?

The NPI number for Olivia Pan is 1295991800. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Q: What is Olivia Pan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Pan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2008PECOS Enrolled

20101 LAKE CHABOT RD FL 3, CASTRO VALLEY, CA 94546(510) 886-3400(510) 886-8466 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Olivia Pan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA PAN M.D. (NPI 1295991800) is an individual pediatrics provider in Castro Valley, California, licensed in Illinois (036-121472) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1295991800

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameOLIVIA PANCredential: M.D.

Location Address20101 LAKE CHABOT RD FL 3Castro Valley, CA 94546-5305

Mailing Address20101 Lake Chabot Rd Fl 3Castro Valley, CA 94546-5305 · (510) 886-3400 · Fax (510) 886-8466

Phone(510) 886-3400

Fax(510) 886-8466

Sole ProprietorNo

Enumeration DateAugust 3, 2008

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1295991800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-121472

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

20101 LAKE CHABOT RD FL 3, Castro Valley, CA 94546

Open in Google Maps ↗

Secondary Practice Location 1

Location 13860 W Ogden AveChicago, IL 60623-2460 · Phone (872) 588-3000 · Fax (872) 588-3021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Pan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Pan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation

13 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHLAM MAHMOOD ALGAZZALI PHYSICIAN ASSISTANT

Physician Assistant