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WAYLEE TAN MD
NPI 1669975462
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 18, 2018PECOS EnrolledAccepts Medicare Assignment
4445 MAGNOLIA AVE OFC, RIVERSIDE, CA 92501(951) 788-3000 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Sep 16, 2021, Mar 18, 2018 (3 updates tracked since 2018).

About Waylee Tan Md NPPES

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

WAYLEE TAN MD (NPI 1669975462) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669975462
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWAYLEE TANCredential: MD
Location Address4445 MAGNOLIA AVE OFCRiverside, CA 92501-4135
Mailing Address393 E Walnut StPasadena, CA 91188-0001
Phone(951) 788-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 18, 2018
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
✔ NPI 1669975462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4445 MAGNOLIA AVE OFC, Riverside, CA 92501
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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 and accepts Medicare assignment

Waylee Tan Md 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 ID1951708528
PECOS Enrollment IDI20210923003147
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 4

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

MANVIR SINGH WADHWA MD
Internal Medicine
4445 MAGNOLIA AVE OFC
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
SABHYATA SHARMA
Internal Medicine
4445 MAGNOLIA AVE OFC
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
ANDRE SAHAKIAN
Hospitalist
4445 MAGNOLIA AVE OFC
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
DR. MATTHEW DOPP MD
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE OFC, GME OFFICE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000

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 Waylee Tan's NPI number?

The NPI number for Waylee Tan is 1669975462. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Where is Waylee Tan located?

Waylee Tan practices at 4445 Magnolia Ave Ofc, Riverside, CA 92501. The listed phone number is (951) 788-3000.

What is Waylee Tan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Waylee Tan enrolled in Medicare?

Yes. Waylee 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.

When was this NPI record last updated?

The NPPES record for Waylee Tan was last updated on December 3, 2021. 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.