GLENN TAN MD
NPI 1063407815
Anesthesiology - Pediatric Anesthesiology in West Hollywood, CA
About Glenn Tan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN TAN MD (NPI 1063407815) is an individual pediatric anesthesiology provider in West Hollywood, California, licensed in California (G72131) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses 2
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
Glenn Tan Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Glenn Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
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 Glenn Tan's NPI number?
The NPI number for Glenn Tan is 1063407815. It was assigned to this individual provider in the NPPES registry on September 19, 2005.
Where is Glenn Tan located?
Glenn Tan practices at 8700 Beverly Blvd Suite 8211, West Hollywood, CA 90048. The listed phone number is (213) 637-3703.
What is Glenn Tan's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is Glenn Tan enrolled in Medicare?
Yes. Glenn 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 Glenn Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Tan reassigns Medicare benefits to Cedars-Sinai Medical Care Foundation (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 Glenn 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 Glenn Tan was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Glenn Tan, MD · NPI 1063407815
Pediatric Anesthesiology physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since September 19, 2005.
## Identity
- **NPI:** 1063407815 (Entity type: Individual)
- **Enumerated:** September 19, 2005
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** G72131 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8700 BEVERLY BLVD, SUITE 8211, West Hollywood, CA 90048-1804
- **Phone:** (213) 637-3703 · **Fax:** (213) 639-0797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063407815) · Data from the CMS NPPES public registry.