YONGTIAN TINA TAN MD, MBA
NPI 1528555646
Pediatrics - Pediatric Emergency Medicine in San Francisco, CA

Active since April 13, 2018PECOS Enrolled
550 16TH ST, SAN FRANCISCO, CA 94143(415) 353-1238 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Mar 1, 2022, Apr 13, 2018 (3 updates tracked since 2018).

About Yongtian Tina Tan Md, Mba NPPES

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

YONGTIAN TINA TAN MD, MBA (NPI 1528555646) is an individual pediatric emergency medicine provider in San Francisco, California, licensed in California (A165395) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1528555646
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameYONGTIAN TINA TANCredential: MD, MBA
Location Address550 16TH STSan Francisco, CA 94143-2549
Mailing Address550 16th StSan Francisco, CA 94143-2549 · (415) 353-1238
Sole ProprietorNo
Enumeration DateApril 13, 2018
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1528555646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in CA · A165395
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A165395 (CA)
550 16TH ST, San Francisco, CA 94143

Secondary Practice Location 1

Location 14800 Sand Point Way NESeattle, WA 98105-3901 · Phone (857) 364-7405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yongtian Tina Tan Md, Mba 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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
550 16TH ST, FLR 5
SAN FRANCISCO, CA 94143
Pediatrics (Pediatric Emergency Medicine)
550 16TH ST
SAN FRANCISCO, CA 94143
Nurse Practitioner (Neonatal)
550 16TH ST
SAN FRANCISCO, CA 94143
Pediatrics
550 16TH ST, 4TH FLOOR, 4551, BOX 0110
SAN FRANCISCO, CA 94143
Nurse Practitioner
550 16TH ST, 4TH FLOOR, MAILSTOP 0434
SAN FRANCISCO, CA 94143
Pediatrics
550 16TH ST, 4TH FLOOR, 4551, BOX 0110
SAN FRANCISCO, CA 94143
Pediatrics (Pediatric Critical Care Medicine)
550 16TH ST
SAN FRANCISCO, CA 94143
Pediatrics (Pediatric Endocrinology)
550 16TH ST, BOX 0110
SAN FRANCISCO, CA 94143

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 Yongtian Tan's NPI number?

The NPI number for Yongtian Tan is 1528555646. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Yongtian Tan located?

Yongtian Tan practices at 550 16th St, San Francisco, CA 94143. The listed phone number is (415) 353-1238.

What is Yongtian Tan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Yongtian Tan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Yongtian Tan was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.