TONG-SHUAN ALICIA TAN
NPI 1730612680
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
1441 FLORIDA AVE, MODESTO, CA 95350(209) 576-3519 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tong-shuan Alicia Tan NPPES

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

TONG-SHUAN ALICIA TAN (NPI 1730612680) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730612680
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTONG-SHUAN ALICIA TAN
Location Address1441 FLORIDA AVEModesto, CA 95350-4404
Mailing Address1441 Florida AveModesto, CA 95350-4404
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateDecember 20, 2021
NPI 1730612680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1441 FLORIDA AVE, Modesto, CA 95350

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

Tong-shuan Alicia 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 ID8729490800
PECOS Enrollment IDI20201214002466
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 20

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

Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacy Technician
1441 FLORIDA AVE
MODESTO, CA 95350
Family Medicine
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacist
1441 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Anesthesiology
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350

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 Tong-shuan Tan's NPI number?

The NPI number for Tong-shuan Tan is 1730612680. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Tong-shuan Tan located?

Tong-shuan Tan practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 576-3519.

What is Tong-shuan 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 Tong-shuan Tan enrolled in Medicare?

Yes. Tong-shuan 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 Tong-shuan Tan was last updated on December 20, 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.