Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Pan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164363586

Derek Pan is a Student in an Organized Health Care Education/Training Program in Colton, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164363586
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address18739 Barnhart Ave, Cupertino, CA 95014-3803

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