MATTHEW TAN
NPI 1710475462
Physician Assistant in Montebello, CA

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
309 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 726-1222 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Jun 25, 2018, Apr 27, 2018 (3 updates tracked since 2018).

About Matthew Tan NPPES

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

MATTHEW TAN (NPI 1710475462) is an individual physician assistant in Montebello, California, licensed in California (PA55620) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pomona, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710475462
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW TAN
Location Address309 W BEVERLY BLVDMontebello, CA 90640-4308
Mailing Address824 N 2nd St Apt 3Alhambra, CA 91801-1370 · (408) 368-2115
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 27, 2018
Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration
NPI 1710475462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA55620
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
309 W BEVERLY BLVD, Montebello, CA 90640

Secondary Practice Location 1

Location 11798 N Garey AvePomona, CA 91767-2918 · Phone (909) 865-9500

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

Matthew Tan 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 ID4385992999
PECOS Enrollment IDI20180730001774
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services29 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Specialist
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Emergency Medicine
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Anesthesiology
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Internal Medicine
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Anesthesiology
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Physical Therapy Assistant
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Registered Nurse
309 W BEVERLY BLVD
MONTEBELLO, CA 90640
Hospitalist
309 W BEVERLY BLVD
MONTEBELLO, CA 90640

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 Matthew Tan's NPI number?

The NPI number for Matthew Tan is 1710475462. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Matthew Tan located?

Matthew Tan practices at 309 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 726-1222.

What is Matthew Tan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Tan enrolled in Medicare?

Yes. Matthew 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 Matthew Tan was last updated on November 22, 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.