DR. LORENA H TAN MD
NPI 1417957697
Family Medicine in Livermore, CA

Q: What is Lorena Tan's NPI number?

The NPI number for Lorena Tan is 1417957697. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Lorena Tan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lorena Tan was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment

14.01/100

CMS Quality Rating

1133 E STANLEY BLVD, SUITE 201, LIVERMORE, CA 94550(925) 443-9000(925) 443-9009 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Lorena H Tan Md NPPES

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

DR. LORENA H TAN MD (NPI 1417957697) is an individual family medicine provider in Livermore, California, licensed in California (A61352) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1995).

NPPES Registry Identity

NPI1417957697

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LORENA H TANCredential: MD

Location Address1133 E STANLEY BLVD, SUITE 201Livermore, CA 94550-4200

Mailing Address1133 E Stanley Blvd, Suite 201Livermore, CA 94550-4200 · (925) 443-9000 · Fax (925) 443-9009

Phone(925) 443-9000

Fax(925) 443-9009

Sole ProprietorYes

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1995

Enumeration DateJuly 28, 2005

Last NPPES UpdateNovember 15, 2016

✔ NPI 1417957697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A61352

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.

1133 E STANLEY BLVD, Livermore, CA 94550

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Other Identifiers 3

Medicare UPING83156

Medicare ID-Type Unspecified00A613520CA

Medicaid00A613520CA

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

Dr. Lorena H 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.

PECOS PAC ID648238436

PECOS Enrollment IDI20041227000553

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 11

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,551 services575 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

259 services203 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

234 services211 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

122 services121 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

106 services106 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

81 services58 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

80 services80 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

39 services36 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

29 services27 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

14.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

46.71

Referred Medical Equipment & Supplies CMS DME claims 6

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

11 suppliers43 claims78 services$5.33 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers23 claims25 services$0.79 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier12 claims2,400 services$1.42 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier12 claims48 services$1.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$3.26 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$23.78 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 18

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

YINETH ROCIO SMITH MD

Pediatrics

1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550

Alameda County (925) 455-5050

STANFORD HEALTH CARE

Dermatology

1133 E STANLEY BLVD, SUITE 111
LIVERMORE, CA 94550

Alameda County (925) 373-4601

BAY AREA CARDIOLOGY MEDICAL GROUP

Internal Medicine (Interventional Cardiology)

1133 E STANLEY BLVD, SUITE 207
LIVERMORE, CA 94550

Alameda County (925) 294-9037

TRI-VALLEY FAMILY MEDICINE

Family Medicine

1133 E STANLEY BLVD, SUITE 201
LIVERMORE, CA 94550

Alameda County (925) 443-9000

KELLY MORRILL MSN, RN, FNP-BC, CEN

Nurse Practitioner (Family)

1133 E STANLEY BLVD
LIVERMORE, CA 94550

Alameda County (925) 373-4500

SCOTT DAVID EATON M.D.

Obstetrics & Gynecology (Obstetrics)

1133 E STANLEY BLVD, SUITE 205
LIVERMORE, CA 94550

Alameda County (925) 447-1010

JOHNETTE K LEIKAM MD

Pediatrics

1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550

Alameda County (925) 455-5050

MICHAEL DAVID BLEECKER M.D.

Obstetrics & Gynecology

1133 E STANLEY BLVD, SUITE 205
LIVERMORE, CA 94550

Alameda County (925) 447-1010

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 Lorena Tan's NPI number?

The NPI number for Lorena Tan is 1417957697. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Lorena Tan located?

Lorena Tan practices at 1133 E Stanley Blvd Suite 201, Livermore, CA 94550. The listed phone number is (925) 443-9000.

What is Lorena Tan's specialty?

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

Is Lorena Tan enrolled in Medicare?

Yes. Lorena 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 Lorena Tan was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.