JAN RAYNDELL AMPARO TAN NP
NPI 1730053430
Nurse Practitioner - Family in Carson, CA

Q: What is Jan Rayndell Tan's NPI number?

The NPI number for Jan Rayndell Tan is 1730053430. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Q: What is Jan Rayndell Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Rayndell Tan was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 03, 2025

22111 MAIN ST UNIT 3, CARSON, CA 90745(310) 279-9834 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jan Rayndell Amparo Tan Np NPPES

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

JAN RAYNDELL AMPARO TAN NP (NPI 1730053430) is an individual family provider in Carson, California, licensed in California (95028250) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1730053430

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAN RAYNDELL AMPARO TANCredential: NP

Location Address22111 MAIN ST UNIT 3Carson, CA 90745-3057

Mailing Address22111 Main St Unit 3Carson, CA 90745-3057

Phone(310) 279-9834

Sole ProprietorYes

Enumeration DateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1730053430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95028250

22111 MAIN ST UNIT 3, Carson, CA 90745

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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 Jan Rayndell Tan's NPI number?

The NPI number for Jan Rayndell Tan is 1730053430. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Where is Jan Rayndell Tan located?

Jan Rayndell Tan practices at 22111 Main St Unit 3, Carson, CA 90745. The listed phone number is (310) 279-9834.

What is Jan Rayndell Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jan Rayndell Tan was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.