JENNY HAN PAN (MD) – Transplant Surgery Physician, NPI 1497998082

JENNY HAN PAN (MD) is a healthcare provider. based in Laguna niguel, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A143311 (CA). The NPI Number for JENNY HAN PAN (MD) is 1497998082

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNY HAN PAN (MD)
NPI
1497998082
Phone
(949) 294-3766
Address
29362 Bobolink Dr
Enumeration Date
12 April 2009
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6507234000
Graduation Year
2009 (17 years ago)
PAC ID
1951725043
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20200722001950
Address ID
CA943052200ST300XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for JENNY HAN PAN (MD)

  • 29362 Bobolink Dr

    Laguna Niguel, CA 926771336

    Phone: (949) 294-3766

    Type: Location

  • Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200722001950IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

What number should I use to identify JENNY HAN PAN (MD) for billing?
Administrative and clinical systems typically use NPI 1497998082 for JENNY HAN PAN (MD).
Does the public listing show JENNY HAN PAN (MD) as active?
JENNY HAN PAN (MD)'s NPI record reflects an active status in NPPES.
What services align with JENNY HAN PAN (MD)'s listing?
JENNY HAN PAN (MD)'s public classification highlights Transplant Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNY HAN PAN (MD)?
JENNY HAN PAN (MD) shows a connection to Laguna Niguel, California in registry-derived data.
Can I export JENNY HAN PAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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