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LO FU TAN MD
NPI 1356314835
Family Medicine in San Ysidro, CA

Active since February 07, 2006PECOS Enrolled
3364 BEYER BLVD STE 102, SAN YSIDRO, CA 92173(702) 617-1227(702) 492-1589 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lo Fu Tan Md NPPES

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

LO FU TAN MD (NPI 1356314835) is an individual family medicine provider in San Ysidro, California, licensed in California (C170935) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356314835
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLO FU TANCredential: MD
Location Address3364 BEYER BLVD STE 102San Ysidro, CA 92173-1322
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (702) 617-1227 · Fax (702) 492-1589
Phone(702) 617-1227
Fax(702) 492-1589
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1356314835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · C170935✔ Licensed in NV · 10849
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3364 BEYER BLVD STE 102, San Ysidro, CA 92173
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Other Identifiers 2

Medicaid1356314835NV
Medicaid100502942NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lo Fu Tan Md 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 Reassignments

3

Medicare enrollment records show Lo Fu Tan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro, Inc.
Same address
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
3364 BEYER BLVD, SUITE #102 & #103
San Ysidro, CA 92173
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1265843122 (619) 662-4100
Southwest Medical Associates, Inc
270 mi
Internal Medicine
888 S RANCHO DR
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 406 clinicians in this Medicare group
NPI 1659346005 (702) 877-8600
Optum Medical Group II Rhodes P C
272 mi
Internal Medicine
2704 N TENAYA WAY
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 608 clinicians in this Medicare group
NPI 1790329407 (702) 877-5199

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 92173 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Lo Fu Tan's NPI number?

The NPI number for Lo Fu Tan is 1356314835. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Lo Fu Tan located?

Lo Fu Tan practices at 3364 Beyer Blvd Ste 102, San Ysidro, CA 92173. The listed phone number is (702) 617-1227.

What is Lo Fu Tan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lo Fu Tan enrolled in Medicare?

Yes. Lo Fu Tan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lo Fu Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lo Fu Tan reassigns Medicare benefits to 3 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (San Ysidro, CA), Southwest Medical Associates, Inc (Las Vegas, NV) and Optum Medical Group II Rhodes P C (Las Vegas, NV). Each 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 Lo Fu 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 Lo Fu Tan was last updated on April 25, 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.