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ZHAO YANG PAN M.D. INC
NPI 1649390717
General Practice in Los Angeles, CA

Active since March 30, 2007
652 N BROADWAY, SUITE A, LOS ANGELES, CA 90012(213) 617-7673(213) 626-2168 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zhao Yang Pan M.d. Inc NPPES

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

ZHAO YANG PAN M.D. INC (NPI 1649390717) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since March 2007. The organization lists Zhao Yang Pan, M.d., as its authorized official.

NPPES Registry Identity

NPI1649390717
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameZHAO YANG PAN M.D. INC
Location Address652 N BROADWAY, SUITE ALos Angeles, CA 90012-2802
Mailing Address652 N Broadway, Suite ALos Angeles, CA 90012-2802 · (213) 617-7673 · Fax (213) 626-2168
Phone(213) 617-7673
Fax(213) 626-2168
Organization SubpartNo
Authorized OfficialZhao Yang PanM.d. · (213) 617-7673
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649390717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A055081
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
652 N BROADWAY, Los Angeles, CA 90012
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A550810CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Zhao Yang Pan M.D. Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Zhaoyang Pan, M.D.
General Practice
NPI 1225193964
652 N BROADWAY # A
Los Angeles, CA 90012
(213) 617-7673
✔ PECOS✔ Accepts MedicareSame address

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

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 Zhao Yang Pan M.D. Inc's NPI number?

The NPI number for Zhao Yang Pan M.D. Inc is 1649390717. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Zhao Yang Pan M.D. Inc located?

Zhao Yang Pan M.D. Inc is located at 652 N Broadway Suite A, Los Angeles, CA 90012. The listed phone number is (213) 617-7673.

What is Zhao Yang Pan M.D. Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Zhao Yang Pan M.D. Inc enrolled in Medicare?

Yes. Zhao Yang Pan M.D. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Zhao Yang Pan M.D. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Zhao Yang Pan M.D. Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Zhao Yang Pan M.D. Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.