SHUFANG TAN DMD
NPI 1528793858
Dentist - General Practice in Chino Hills, CA

Q: What is Shufang Tan's NPI number?

The NPI number for Shufang Tan is 1528793858. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Q: What is Shufang Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shufang Tan was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 20, 2022PECOS Enrolled

15850 SOQUEL CANYON PKWY STE A, CHINO HILLS, CA 91709(909) 375-0133 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, Jul 20, 2022 (2 updates tracked since 2022).

On this page

About Shufang Tan Dmd NPPES

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

SHUFANG TAN DMD (NPI 1528793858) is an individual general practice provider in Chino Hills, California, licensed in California (DDS108707) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528793858

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSHUFANG TANCredential: DMD

Location Address15850 SOQUEL CANYON PKWY STE AChino Hills, CA 91709-5874

Mailing Address15850 Soquel Canyon Pkwy Ste AChino Hills, CA 91709-5874 · (909) 375-0133

Phone(909) 375-0133

Sole ProprietorNo

Enumeration DateJuly 20, 2022

Last NPPES UpdateMay 24, 20232 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1528793858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · DDS108707✔ Licensed in FL · DN27044

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15850 SOQUEL CANYON PKWY STE A, Chino Hills, CA 91709

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shufang Tan Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91709 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 2

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

DR. TALEEN JUDY DAVIDIAN DDS

Dentist (General Practice)

15850 SOQUEL CANYON PKWY STE A
CHINO HILLS, CA 91709

San Bernardino County (909) 375-0133

POUYA ANSARI DMD

Dentist (General Practice)

15850 SOQUEL CANYON PKWY STE A
CHINO HILLS, CA 91709

San Bernardino County (909) 375-0133

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 Shufang Tan's NPI number?

The NPI number for Shufang Tan is 1528793858. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Shufang Tan located?

Shufang Tan practices at 15850 Soquel Canyon Pkwy Ste A, Chino Hills, CA 91709. The listed phone number is (909) 375-0133.

What is Shufang Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shufang Tan enrolled in Medicare?

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

What insurance does Shufang Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Shufang Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shufang Tan was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.