RONALD PAN
NPI 1497418198
Nurse Practitioner - Psychiatric/Mental Health in Huntington Beach, CA

Q: What is Ronald Pan's NPI number?

The NPI number for Ronald Pan is 1497418198. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Q: What is Ronald Pan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Pan was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 October 19, 2021PECOS Enrolled

17772 BEACH BLVD, HUNTINGTON BEACH, CA 92647(714) 843-5000 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ronald Pan NPPES

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

RONALD PAN (NPI 1497418198) is an individual psychiatric/mental health provider in Huntington Beach, California, licensed in California (95018887) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497418198

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameRONALD PAN

Location Address17772 BEACH BLVDHuntington Beach, CA 92647-6819

Mailing Address17772 Beach BlvdHuntington Beach, CA 92647-6819

Phone(714) 843-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 19, 2021

NPPES CertifiedOctober 19, 2021

✔ NPI 1497418198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95018887

17772 BEACH BLVD, Huntington Beach, CA 92647

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4082186044

PECOS Enrollment IDI20260611000211

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92647 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

BEACH EMERGENCY MEDICAL ASSOCIATES

Emergency Medicine