DR. GORDON TAN M.D.
NPI 1659662583
Pediatrics in Moreno Valley, CA

Q: What is Gordon Tan's NPI number?

The NPI number for Gordon Tan is 1659662583. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Q: What is Gordon Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Tan was last updated on November 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2011PECOS Enrolled

12815 HEACOCK ST, MORENO VALLEY, CA 92553(951) 601-6399 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Gordon Tan M.d. NPPES

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

DR. GORDON TAN M.D. (NPI 1659662583) is an individual pediatrics provider in Moreno Valley, California, licensed in California (A122192) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659662583

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. GORDON TANCredential: M.D.

Location Address12815 HEACOCK STMoreno Valley, CA 92553-2836

Mailing Address12815 Heacock StMoreno Valley, CA 92553-2836

Phone(951) 601-6399

Sole ProprietorNo

Enumeration DateApril 26, 2011

Last NPPES UpdateNovember 30, 2024

NPPES CertifiedNovember 30, 2024

✔ NPI 1659662583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A122192

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12815 HEACOCK ST, Moreno Valley, CA 92553

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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)

Dr. Gordon Tan M.d. 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 92553 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

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.