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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Yongtian Tan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1700 25TH ST
San Francisco, CA 94107
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 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.

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.

Which organizations bill Medicare for Yongtian Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yongtian Tan reassigns Medicare benefits to 5 organizations: City & County Of San Francisco (San Francisco, CA), University Of California Sfgh Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Multicare Health System (Olympia, WA). 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 Yongtian 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 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 22 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.