DAVID TAN
NPI 1467012229
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About David Tan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID TAN (NPI 1467012229) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of University Of California, Davis School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
David Tan 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 Reassignment
Medicare enrollment records show David Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Torrance, CA 90503
- Reassigned Medicare billing, California enrollment
- 48 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 David Tan's NPI number?
The NPI number for David Tan is 1467012229. It was assigned to this individual provider in the NPPES registry on June 14, 2019.
Where is David Tan located?
David Tan practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (408) 368-5685.
What is David Tan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is David Tan enrolled in Medicare?
Yes. David 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 organization bills Medicare for David Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Tan reassigns Medicare benefits to South Bay Anesthesia Medical Group Inc. (Torrance, CA). The 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 David 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 David Tan was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# David Tan · NPI 1467012229
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 14, 2019.
## Identity
- **NPI:** 1467012229 (Entity type: Individual)
- **Enumerated:** June 14, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, Los Angeles, CA 90089-1001
- **Phone:** (408) 368-5685
## 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:** South Bay Anesthesia Medical Group Inc. (NPI 1073531836, Torrance, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** April 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467012229) · Data from the CMS NPPES public registry.