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DR. CLAUDETTE LYNN TAN M.D.
NPI 1467757401
Pediatrics in Oakland, CA

Active since January 24, 2011PECOS Enrolled
747 52ND ST, MEDICAL EDUCATION OFFICE, OAKLAND, CA 94609(202) 487-5090 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Claudette Lynn Tan M.d. NPPES

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

DR. CLAUDETTE LYNN TAN M.D. (NPI 1467757401) is an individual pediatrics provider in Oakland, California, licensed in California (A115039) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467757401
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CLAUDETTE LYNN TANCredential: M.D.
Location Address747 52ND ST, MEDICAL EDUCATION OFFICEOakland, CA 94609-1809
Mailing Address747 52nd St, Medical Education OfficeOakland, CA 94609-1809 · (202) 487-5090
Phone(202) 487-5090
Sole ProprietorNo
Enumeration DateJanuary 24, 2011
Last NPPES UpdateDecember 14, 2021
✔ NPI 1467757401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A115039
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
747 52ND ST, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claudette Lynn Tan M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Claudette Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
8.6 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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.

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.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

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 Claudette Tan's NPI number?

The NPI number for Claudette Tan is 1467757401. It was assigned to this individual provider in the NPPES registry on January 24, 2011.

Where is Claudette Tan located?

Claudette Tan practices at 747 52nd St Medical Education Office, Oakland, CA 94609. The listed phone number is (202) 487-5090.

What is Claudette Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Claudette Tan enrolled in Medicare?

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

Which organization bills Medicare for Claudette Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudette Tan reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Claudette 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 Claudette Tan was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.