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

Ronald Pan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497418198

Ronald Pan is a Nurse Practitioner in Huntington Beach, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

17772 Beach Blvd
Huntington Beach, CA 92647-6819
Phone: (714) 843-5000
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95018887 (CA)

Record details

NPI number1497418198
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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