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MATTHEW HIEN TAN MD
NPI 1518617539
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 24, 2022PECOS Enrolled
200 W ARBOR DR # 8425, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Hien Tan Md NPPES

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

MATTHEW HIEN TAN MD (NPI 1518617539) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518617539
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW HIEN TANCredential: MD
Location Address200 W ARBOR DR # 8425San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # 8425San Diego, CA 92103-1911 · (619) 543-6268
Phone(619) 543-6268
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1518617539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
200 W ARBOR DR # 8425, San Diego, CA 92103
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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)

Matthew Hien Tan Md 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.

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.

RYAN HSIEH
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
STEPHANIE ELISA GUERRERI M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
KAVYA H MANU MD
Internal Medicine
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
ROBERT MARLIN MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
MONICA CELINE LAYSON FORTICH MD
Internal Medicine
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
MICHAEL FINK
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (925) 285-0814
REVA PRABHA PEER
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
NIHAAL REDDY MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268

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 Matthew Tan's NPI number?

The NPI number for Matthew Tan is 1518617539. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Matthew Tan located?

Matthew Tan practices at 200 W Arbor Dr # 8425, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Matthew 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 Matthew Tan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Tan was last updated on March 24, 2022. 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.