GINA PAN MD
NPI 1669905790
Emergency Medicine in Walnut Creek, CA
About Gina Pan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA PAN MD (NPI 1669905790) is an individual emergency medicine provider in Walnut Creek, California, licensed in California (173614) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gina Pan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Gina Pan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Rocket Doctor Practice Group PC
- 40 clinicians in this Medicare group
Bronx, NY 10457
- Reassigned Medicare billing, New York enrollment
- 795 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Gina Pan's NPI number?
The NPI number for Gina Pan is 1669905790. It was assigned to this individual provider in the NPPES registry on April 5, 2017.
Where is Gina Pan located?
Gina Pan practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.
What is Gina Pan's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gina Pan enrolled in Medicare?
Yes. Gina Pan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gina Pan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Pan reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Richmond, CA), Rocket Doctor Practice Group, P.C. (Newport Beach, CA), Bronxcare Health System (Bronx, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Gina 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 Gina Pan was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gina Pan, MD · NPI 1669905790
Emergency Medicine physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since April 5, 2017.
## Identity
- **NPI:** 1669905790 (Entity type: Individual)
- **Enumerated:** April 5, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 173614 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1425 S MAIN ST, Walnut Creek, CA 94596-5318
- **Phone:** (925) 295-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1235226531, Richmond, CA); Rocket Doctor Practice Group, P.C. (NPI 1194403642, Newport Beach, CA); Bronxcare Health System (NPI 1245390855, Bronx, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** December 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669905790) · Data from the CMS NPPES public registry.