MICHELLE TAN PA-C
NPI 1689387490
Physician Assistant in Los Angeles, CA
About Michelle Tan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE TAN PA-C (NPI 1689387490) is an individual physician assistant in Los Angeles, California, licensed in California (PA63147) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Eastern Virginia Medical School (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Michelle Tan Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Michelle Tan's NPI number?
The NPI number for Michelle Tan is 1689387490. It was assigned to this individual provider in the NPPES registry on December 27, 2022.
Where is Michelle Tan located?
Michelle Tan practices at 300 Stein Plaza Suite 420, Los Angeles, CA 90095. The listed phone number is (310) 825-5111.
What is Michelle Tan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michelle Tan enrolled in Medicare?
Yes. Michelle 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 Michelle Tan was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Michelle Tan, PA-C · NPI 1689387490
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 27, 2022.
## Identity
- **NPI:** 1689387490 (Entity type: Individual)
- **Enumerated:** December 27, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA63147 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 STEIN PLAZA SUITE 420, Los Angeles, CA 90095-0001
- **Phone:** (310) 825-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Eastern Virginia Medical School, class of 2023
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689387490) · Data from the CMS NPPES public registry.