Jianqiu Pan (NPI# 1487760716, PAC ID# 6305842956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1487760716 |
| PAC ID by PECOS | 6305842956 |
| Professional Enrollment ID | I20061004000693 |
| Full Name | Jianqiu Pan |
| Organization Legal Name | ALTA EAST BAY PATHOLOGY, INC. |
| Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 |
| Phone Number | 5107273036 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8224024013 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2450 Ashby Ave, Berkeley, CA 94705-2067 | 5102041642 | ALTA EAST BAY PATHOLOGY, INC. |
| 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 5107273036 | ALTA EAST BAY PATHOLOGY, INC. |
| 350 Hawthorne Ave, Oakland, CA 94609-3108 | 5108696567 | ALTA EAST BAY PATHOLOGY, INC. |
| 365 Lennon Ln, Walnut Creek, CA 94598-5915 | BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION |
| Organization Legal Name | ALTA EAST BAY PATHOLOGY, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Gologorsky | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Rebecca Swain | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Lawrence Kong Low | Pathology | Alta East Bay Pathology, Inc. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Jerome S Burke | Pathology | Alta East Bay Pathology, Inc. | 2450 Ashby Ave, Berkeley, CA 94705-2067 |
| Sebastian J Sasu | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Annette M Shaieb | Pathology | Alta East Bay Pathology, Inc. | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
| Maggie M Lam | Pathology | Alta East Bay Pathology, Inc. | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
| Richard H Hildebrandt | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Lorelle Eileen Carlley | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Street Address |
20103 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip | 94546-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Nuckton | Critical Care (intensivists) | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
| Mirwais Amoni | Internal Medicine | Sutter Bay Medical Foundation | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Phuong D Vo | Anesthesiology | Alameda Anesthesia Associates Medical Group, Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Shawn K Kaku | Critical Care (intensivists) | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
| Sushma V Shah | Emergency Medicine | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Samir Sairam | Family Medicine | Sutter Bay Medical Foundation | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Andrew J Neiheisel | Anesthesiology | Alameda Anesthesia Associates Medical Group, Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Jasmine M Halloran | Physician Assistant | Eden Emergency Medical Group Inc | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Frank H Kim | Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
| Debra Gologorsky | Pathology | Alta East Bay Pathology, Inc. | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten Toverud Severson | Psychologist, Clinical | 18037 Joseph Dr, Castro Valley, CA 94546-1303 | |
| Martha Singer | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Ravi S Panjabi | Anesthesiology | Ravi Panjabi, Inc | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Robert E Martin | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Evan Scott Collier | Family Medicine | Ravi Panjabi, Inc | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Gregg Pottorff | Orthopedic Surgery | Bay Area Surgical Specialists Inc A Medical Corporation | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Robert Scott Forster | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Alexander M Reyzelman | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Carolyn Elizabeth Mcaloon | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Judianne M Walker | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Find all physicians in zip 94546 | |||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
| Specialty | PATHOLOGY |
| City + Specialty | CASTRO VALLEY + PATHOLOGY |
Please comment or provide details below to improve the information on Jianqiu Pan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.