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MRS. TERESITA EGIDO TAN MD
NPI 1396835633
General Practice in Los Angeles, CA

Active since October 16, 2006PECOS Enrolled
244 S OXFORD AVE, #9, LOS ANGELES, CA 90004(213) 382-1770(213) 382-1895 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Teresita Egido Tan Md NPPES

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

MRS. TERESITA EGIDO TAN MD (NPI 1396835633) is an individual general practice provider in Los Angeles, California, licensed in California (A40376) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396835633
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMRS. TERESITA EGIDO TANCredential: MD
Location Address244 S OXFORD AVE, #9Los Angeles, CA 90004
Mailing Address244 S Oxford Ave, #9Los Angeles, CA 90004-5173 · (213) 382-1770 · Fax (213) 382-1895
Phone(213) 382-1770
Fax(213) 382-1895
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 21, 2010
✔ NPI 1396835633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A40376
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
244 S OXFORD AVE, Los Angeles, CA 90004
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Other Identifiers 3

Medicare UPINA85447CA
Medicaid00A403760CA
Medicare ID-Type UnspecifiedA40376CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Teresita Egido 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers21 claims42 services$3.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers21 claims21 services$0.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. JOSEFINA DEL CARMEN NIETO D.M.D.
Dentist (General Practice)
244 S OXFORD AVE, SUITE 12
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5533
DR. MARIA TERESA INDUCTIVO HIZON DDS, DMD
Dentist
244 S OXFORD AVE, SUITE 12
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5533
HENGAMEH ANARAKI, DDS, INC
Dentist
244 S OXFORD AVE, SUITE 12
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5533

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 Teresita Tan's NPI number?

The NPI number for Teresita Tan is 1396835633. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Teresita Tan located?

Teresita Tan practices at 244 S Oxford Ave #9, Los Angeles, CA 90004. The listed phone number is (213) 382-1770.

What is Teresita Tan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Teresita Tan enrolled in Medicare?

Yes. Teresita Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teresita Tan was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.