DR. JENNY TAN MD
NPI 1457620528
Family Medicine in Anaheim, CA
About Dr. Jenny Tan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNY TAN MD (NPI 1457620528) is an individual family medicine provider in Anaheim, California, licensed in California (A119050) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Anaheim, and is a graduate of Boston University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jenny 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jenny Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jenny Tan's NPI number?
The NPI number for Jenny Tan is 1457620528. It was assigned to this individual provider in the NPPES registry on December 20, 2011.
Where is Jenny Tan located?
Jenny Tan practices at 3010 W Orange Ave Ste 302, Anaheim, CA 92804. The listed phone number is (714) 825-1200.
What is Jenny Tan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jenny Tan enrolled in Medicare?
Yes. Jenny 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.
Which organizations bill Medicare for Jenny Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Tan reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (Orange, CA) and Memorialcare Medical Foundation (Fountain Valley, CA). 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 Jenny 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 Jenny Tan was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Jenny Tan, MD · NPI 1457620528
Family Medicine physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since December 20, 2011.
## Identity
- **NPI:** 1457620528 (Entity type: Individual)
- **Enumerated:** December 20, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A119050 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3010 W ORANGE AVE STE 302, Anaheim, CA 92804-3172
- **Phone:** (714) 825-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1679521850, Orange, CA); Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** November 13, 2017
- **Other identifiers:** Medicare PIN GF907Y (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1457620528) · Data from the CMS NPPES public registry.