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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONAH O. TAN M.P.T., P.A.-C
NPI 1477569010
Physician Assistant in Simi Valley, CA

Active since August 01, 2006PECOS Enrolled
3200 E LOS ANGELES AVE, SUITE 20, SIMI VALLEY, CA 93065(805) 581-4266(805) 581-5049 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonah O. Tan M.p.t., P.a.-c NPPES

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

JONAH O. TAN M.P.T., P.A.-C (NPI 1477569010) is an individual physician assistant in Simi Valley, California, licensed in California (PA16970) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1477569010
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJONAH O. TANCredential: M.P.T., P.A.-C
Location Address3200 E LOS ANGELES AVE, SUITE 20Simi Valley, CA 93065-3972
Mailing Address1687 Erringer Rd, Ste 109Simi Valley, CA 93065-6508 · (805) 581-4266 · Fax (805) 581-5049
Phone(805) 581-4266
Fax(805) 581-5049
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1477569010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA16970
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT24912 (CA)
3200 E LOS ANGELES AVE, Simi Valley, CA 93065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonah O. Tan M.p.t., P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264324599
PECOS Enrollment IDI20101102000083, I20110902000365
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 2

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,026 services37 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
30 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
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 3

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

LUV COLLINS P.T.A.
Physical Therapy Assistant
3200 E LOS ANGELES AVE, SUITE 20
SIMI VALLEY, CA 93065
Ventura County (805) 581-4266
GINA RENEE COLLINS M.P.T.
Physical Therapist
3200 E LOS ANGELES AVE, SUITE 20
SIMI VALLEY, CA 93065
Ventura County (805) 581-4266
GINA R. COLLINS
Clinic/Center (Physical Therapy)
3200 E LOS ANGELES AVE, SUITE 20
SIMI VALLEY, CA 93065
Ventura County (805) 581-4266

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 Jonah Tan's NPI number?

The NPI number for Jonah Tan is 1477569010. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jonah Tan located?

Jonah Tan practices at 3200 E Los Angeles Ave Suite 20, Simi Valley, CA 93065. The listed phone number is (805) 581-4266.

What is Jonah Tan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonah Tan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonah Tan was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.