Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053407916 Deactivated / Inactive NPI Male Practitioner

Dr. Willis Pang , PharmD

Pharmacist • Vallejo, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Willis Pang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2006
NPI Deactivation Date February 18, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Willis Pang, PharmD was a registered Pharmacist practicing in Vallejo, CA. Throughout an active medical career spanning 13 years, Dr. Pang provided care at the practice location at 1761 BROADWAY ST until profile deactivation on 2019-02-18.

Practice Location & Contact Primary Location

Practice Address

1761 Broadway St
Suite 209

Vallejo, CA 945892226

Telephone 7076452526
Fax 7076452530
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1215008461

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
170 Specialists

Practicing in Vallejo, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 53412

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1588759534

Doctor of Pharmacy (Pharm.D.)

NPI 1619271012

Doctor of Pharmacy (Pharm.D.)

NPI 1629155296

Doctor of Pharmacy (Pharm.D.)

NPI 1649352154

Doctor of Pharmacy (Pharm.D.)

NPI 1780774265

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2019

Record deactivated on February 18, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1761 BROADWAY ST, SUITE 209, VALLEJO, CA 945892226 (Tel: 7076452526)

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Updated Business Mailing Address July 08, 2007

Registered at 907 SANTA CRUZ DR, PLEASANT HILL, CA 945232328 (Tel: 7076452526)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIS PANG, PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #53412 in CA)

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Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053407916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Deactivation Date: February 18, 2019

Mailing Address

907 Santa Cruz Dr

Pleasant Hill, CA 945232328

Phone: 7076452526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.