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JEFFREY JING TAN M.D.
NPI 1033407549
Ophthalmology in Los Angeles, CA

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
1245 WILSHIRE BLVD STE 380, LOS ANGELES, CA 90017(213) 483-8810(213) 481-1503 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2024, Apr 26, 2022, Aug 14, 2017 (3 updates tracked since 2017).

About Jeffrey Jing Tan M.d. NPPES

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

JEFFREY JING TAN M.D. (NPI 1033407549) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A135284) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2011).

NPPES Registry Identity

NPI1033407549
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJEFFREY JING TANCredential: M.D.
Location Address1245 WILSHIRE BLVD STE 380Los Angeles, CA 90017-4886
Mailing Address3857 Birch St Ste 3145Newport Beach, CA 92660-2616 · (510) 673-7430 · Fax (844) 320-9747
Phone(213) 483-8810
Fax(213) 481-1503
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2011
Enumeration DateJuly 18, 2011
Last NPPES UpdateApril 9, 20243 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1033407549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A135284
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1245 WILSHIRE BLVD STE 380, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Jing Tan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305167602
PECOS Enrollment IDI20150611000466
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC
Ophthalmology
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
DAVID S BOYER MD
Ophthalmology
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
DANIEL C SU M.D.
Ophthalmology (Retina Specialist)
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
THOMAS G CHU MD
Ophthalmology
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
DOUGLAS MATSUNAGA
Ophthalmology
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
DR. DAVID SHANGKANG LIAO M.D.,PH.D.
Ophthalmology
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810

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 Jeffrey Tan's NPI number?

The NPI number for Jeffrey Tan is 1033407549. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Jeffrey Tan located?

Jeffrey Tan practices at 1245 Wilshire Blvd Ste 380, Los Angeles, CA 90017. The listed phone number is (213) 483-8810.

What is Jeffrey Tan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jeffrey Tan enrolled in Medicare?

Yes. Jeffrey Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffrey Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Tan reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Tan was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.