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DR. JOHN KENNEDY TANNOUS M.D.
NPI 1164775912
Pediatrics in El Monte, CA

Active since October 17, 2012PECOS Enrolled
3401 AERO JET AVE, EL MONTE, CA 91731(626) 286-8700(626) 286-8650 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2021, Feb 22, 2017 (2 updates tracked since 2017).

About Dr. John Kennedy Tannous M.d. NPPES

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

DR. JOHN KENNEDY TANNOUS M.D. (NPI 1164775912) is an individual pediatrics provider in El Monte, California, licensed in California (G172994) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in City Of Industry.

NPPES Registry Identity

NPI1164775912
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JOHN KENNEDY TANNOUSCredential: M.D.
Location Address3401 AERO JET AVEEl Monte, CA 91731-2801
Mailing Address3401 Aero Jet AveEl Monte, CA 91731-2801 · (626) 286-8700 · Fax (626) 286-8650
Phone(626) 286-8700
Fax(626) 286-8650
Sole ProprietorNo
Enumeration DateOctober 17, 2012
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1164775912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · G172994✔ Licensed in AZ · 23959✔ Licensed in IL · 036.130885
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3401 AERO JET AVE, El Monte, CA 91731
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Secondary Practice Location 1

Location 11661 Hanover Rd Ste 103City Of Industry, CA 91748-5705 · Phone (626) 286-8700 · Fax (626) 286-8650

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Kennedy Tannous M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 John Tannous reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawndale Christian Health Center
1,731 mi
Federally Qualified Health Center (FQHC)
3860 W OGDEN AVE
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 147 clinicians in this Medicare group
NPI 1245289214 (773) 843-2705

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 91731 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 9

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

HERALD CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
LONG YIN TAM PA
Physician Assistant
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
YU-NIEN AGUSTIN LCSW
Social Worker (Clinical)
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
MENGYING LUO
Nurse Practitioner (Family)
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
HUI SHI SERENA LOH
Nurse Practitioner (Psychiatric/Mental Health)
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
I-CHING WU
Social Worker (Clinical)
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
MISS LAI YI KOE PA-C
Physician Assistant
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700
ARIANA CRUZ LOZADA
Student in an Organized Health Care Education/Training Program
3401 AERO JET AVE
EL MONTE, CA 91731
Los Angeles County (626) 286-8700

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 John Tannous's NPI number?

The NPI number for John Tannous is 1164775912. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Where is John Tannous located?

John Tannous practices at 3401 Aero Jet Ave, El Monte, CA 91731. The listed phone number is (626) 286-8700.

What is John Tannous's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Tannous enrolled in Medicare?

Yes. John Tannous is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Tannous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Tannous reassigns Medicare benefits to Lawndale Christian Health Center (Chicago, IL). 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 John Tannous'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 John Tannous was last updated on November 30, 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.