ANTONIO A. TAN, MD, PROFESSIONAL CORPORATION - NPI 1003870676

Q: What is Antonio A. Tan, MD, Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Antonio A. Tan, Md, Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO A. TAN, MD, PROFESSIONAL CORPORATION (NPI 1003870676) is a healthcare organization registered as a clinic/center in Moreno Valley, California and active in the NPI registry since April 2006. The organization lists Rhoda J. Tan, Manager / Secretary Of P.c., as its authorized official.

NPPES Registry Identity

NPI1003870676

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameANTONIO A. TAN, MD, PROFESSIONAL CORPORATION

Location Address12980 FREDERICK ST, SUITE DMoreno Valley, CA 92553-5263

Mailing Address12980 Frederick St, Suite DMoreno Valley, CA 92553-5263 · (951) 485-2744 · Fax (951) 485-2749

Phone(951) 485-2744

Fax(951) 485-2749

Organization SubpartNo

Authorized OfficialRhoda J. TanManager / Secretary Of P.c. · (951) 485-2744

Enumeration DateApril 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003870676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · A45416

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12980 FREDERICK ST, Moreno Valley, CA 92553

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Other Identifiers 1

Medicaid00A454161CA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOGENDRA B PATEL,MD,INC

Internal Medicine (Gastroenterology)

12980 FREDERICK ST, SUITE J
MORENO VALLEY, CA 92553

Riverside County (951) 924-9300

DR. ANTONIO A. TAN M.D.

Internal Medicine

12980 FREDERICK ST, SUITE D
MORENO VALLEY, CA 92553

Riverside County (951) 485-2744

MS. ANGELA ONOSOLABOMI SOJOBI CNM

Midwife

12980 FREDERICK ST, SUITE A
MORENO VALLEY, CA 92553

Riverside County (951) 924-0108

MARGERY ULEMA CHIRWA M.D.

Family Medicine

12980 FREDERICK ST, SUITE C
MORENO VALLEY, CA 92553

Riverside County (951) 242-5760

MRS. CYNTHIA MARIE PULSHA CNM

Midwife

12980 FREDERICK ST, SUITE A
MORENO VALLEY, CA 92553

Riverside County (951) 924-0108

CAREONE LABORATORY, LLC

Clinical Medical Laboratory

12980 FREDERICK ST, SUITE D
MORENO VALLEY, CA 92553

Riverside County (951) 243-2600

LESLEY CARROL QUARTEY

Nurse Practitioner (Family)

12980 FREDERICK ST
MORENO VALLEY, CA 92553

Riverside County (951) 243-3868

JAY KYUNG LEE M.D.

Specialist

12980 FREDERICK ST, STE A
MORENO VALLEY, CA 92553

Riverside County (951) 924-0108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio A. Tan, MD, Professional Corporation's NPI number?

The NPI number for Antonio A. Tan, MD, Professional Corporation is 1003870676. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is Antonio A. Tan, MD, Professional Corporation located?

Antonio A. Tan, MD, Professional Corporation is located at 12980 Frederick St Suite D, Moreno Valley, CA 92553. The listed phone number is (951) 485-2744.

What is Antonio A. Tan, MD, Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Antonio A. Tan, MD, Professional Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.