EDWARD ARVIZU TAN LMFT
NPI 1518617992
Marriage & Family Therapist in Burbank, CA

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
511 N HOLLYWOOD WAY, BURBANK, CA 91505(818) 841-0710 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Edward Arvizu Tan Lmft NPPES

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

EDWARD ARVIZU TAN LMFT (NPI 1518617992) is an individual marriage & family therapist in Burbank, California, licensed in California (131447) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518617992
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameEDWARD ARVIZU TANCredential: LMFT
Location Address511 N HOLLYWOOD WAYBurbank, CA 91505-3406
Mailing Address511 N Hollywood WayBurbank, CA 91505-3406
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1518617992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 131447
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
511 N HOLLYWOOD WAY, Burbank, CA 91505

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

Edward Arvizu Tan Lmft 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 ID4981048659
PECOS Enrollment IDI20240221002028
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 Reassignments

2

Medicare enrollment records show Edward Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
5060 SHOREHAM PL STE 330
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
Mental Health
5060 SHOREHAM PL STE 330
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
  • 245 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.

Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Pharmacist
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505
Nurse Practitioner (Family)
511 N HOLLYWOOD WAY
BURBANK, CA 91505

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 Edward Tan's NPI number?

The NPI number for Edward Tan is 1518617992. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Edward Tan located?

Edward Tan practices at 511 N Hollywood Way, Burbank, CA 91505. The listed phone number is (818) 841-0710.

What is Edward Tan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Edward Tan enrolled in Medicare?

Yes. Edward 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 organizations bill Medicare for Edward Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Tan reassigns Medicare benefits to 2 organizations: Headlight Health Medical Group PLLC (San Diego, CA) and Sokyahealth Medical Group PC (San Diego, CA). Each 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 Edward 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 Edward Tan was last updated on March 28, 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.