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ZALDY S TAN M.D.
NPI 1174585376
Internal Medicine - Geriatric Medicine in Los Angeles, CA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
127 S SAN VICENTE BLVD # A6600, LOS ANGELES, CA 90048(310) 423-6472(310) 423-0148 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2022, Sep 16, 2020 (2 updates tracked since 2020).

About Zaldy S Tan M.d. NPPES

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

ZALDY S TAN M.D. (NPI 1174585376) is an individual geriatric medicine provider in Los Angeles, California, licensed in California (A69001) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roxbury Crossing, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1174585376
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameZALDY S TANCredential: M.D.
Location Address127 S SAN VICENTE BLVD # A6600Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-6472
Fax(310) 423-0148
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 4, 2006
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1174585376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in CA · A69001✔ Licensed in MA · 160230
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
127 S SAN VICENTE BLVD # A6600, Los Angeles, CA 90048
Open in Google Maps ↗

Secondary Practice Location 1

Location 11625 Tremont St Fl 3, Brigham and Women's Hospital Division of AgingRoxbury Crossing, MA 02120-1616 · Phone (857) 364-5012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zaldy S 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 ID5395927966
PECOS Enrollment IDI20120322000099
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services36 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
16 services16 patients

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.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

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.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

Other Providers at the Same Location NPPES 10

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

MS. RACHELLE BLISS TACHE NP-C
Nurse Practitioner (Family)
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (424) 315-2360
ANTHONY BISHAY
Student in an Organized Health Care Education/Training Program
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-7900
MRS. JANET KIM PA-C
Physician Assistant
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-7900
DR. BOWEN SONG MD
Psychiatry & Neurology (Neurology)
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-6472
CE ZHANG MD, PHD
Student in an Organized Health Care Education/Training Program
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-6742
BRYAN MAK MMSC, CGC
Genetic Counselor, MS
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (626) 224-7733
TARA A JONES MS, LCGC
Genetic Counselor, MS
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (424) 315-2361
DR. COLLETTE YEPROUHIE KOKIKIAN MD
Psychiatry & Neurology (Neurology)
127 S SAN VICENTE BLVD # A6600
LOS ANGELES, CA 90048
Los Angeles County (310) 423-6472

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 Zaldy Tan's NPI number?

The NPI number for Zaldy Tan is 1174585376. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Zaldy Tan located?

Zaldy Tan practices at 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048. The listed phone number is (310) 423-6472.

What is Zaldy Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Zaldy Tan enrolled in Medicare?

Yes. Zaldy 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.

When was this NPI record last updated?

The NPPES record for Zaldy Tan was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.