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

Jeanne P Pan

Individual provider Family Nurse Practitioner · NPI 1255403994

Jeanne P Pan is a Nurse Practitioner in Baldwin Park, California. Qualified in 2004, 22 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone: (626) 851-7037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15140NP (CA)

Record details

NPI number1255403994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMarch 7, 2023
Certification dateDecember 14, 2021
Mailing address29600 Island View Dr, 105, Rancho Palos Verdes, CA 90275-4650

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Baldwin Park