DAVID TAN
NPI 1467012229
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since June 14, 2019PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90089(408) 368-5685 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2021, Mar 26, 2021, Jun 14, 2019 (3 updates tracked since 2019).

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

NPI1467012229
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID TAN
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address1200 N State StLos Angeles, CA 90089-1001
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2021
Enumeration DateJune 14, 2019
Last NPPES UpdateApril 28, 20213 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1467012229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 N STATE ST, Los Angeles, CA 90089

Secondary Practice Location 1

Location 14610 X StSacramento, CA 95817-2200 · Phone (408) 368-5685

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

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.

PECOS PAC ID3173025723
PECOS Enrollment IDI20250904001459
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.

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.

Nurse Practitioner (Pediatrics)
1200 N STATE ST, IRD 116
LOS ANGELES, CA 90089
Registered Nurse
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
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.

When was this NPI record last updated?

The NPPES record for David Tan was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.