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

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: November 01, 2026.

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
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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Child & Adolescent Psychiatry
31194 LA BAYA DR STE 202
Westlake Village, CA 91362
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group

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 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.

Emergency Medicine
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
General Acute Care Hospital
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
Emergency Medicine
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
Psychiatric Unit
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
General Acute Care Hospital
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
General Acute Care Hospital
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
Psychiatry & Neurology (Psychiatry)
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647
Psychiatric Unit
17772 BEACH BLVD
HUNTINGTON BEACH, CA 92647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ronald Pan located?

Ronald Pan practices at 17772 Beach Blvd, Huntington Beach, CA 92647. The listed phone number is (714) 843-5000.

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.

Is Ronald Pan enrolled in Medicare?

Yes. Ronald Pan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronald Pan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Pan reassigns Medicare benefits to Sabira Saifuddin MD A Medical Corp (Westlake Village, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Pan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.