NANCY C LAN PA-C
NPI 1790835825
Physician Assistant - Surgical in Santa Clara, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since January 11, 2007PECOS Enrolled

710 LAWRENCE EXPY, DEPT 148, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nancy C Lan Pa-c NPPES

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

NANCY C LAN PA-C (NPI 1790835825) is an individual surgical provider in Santa Clara, California, licensed in California (18684) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790835825

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNANCY C LANCredential: PA-C

Location Address710 LAWRENCE EXPY, DEPT 148Santa Clara, CA 95051-5173

Mailing Address710 Lawrence Expy, Dept 148Santa Clara, CA 95051-5173

Phone(408) 851-1000

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1790835825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 18684

710 LAWRENCE EXPY, Santa Clara, CA 95051

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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)

Nancy C Lan Pa-c 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.