DR. JEFFREY HAN TAVIS M.D.
NPI 1750568242
Internal Medicine in Cerritos, CA

Q: What is Jeffrey Tavis's NPI number?

The NPI number for Jeffrey Tavis is 1750568242. It was assigned to this individual provider in the NPPES registry on January 27, 2008.

Q: What is Jeffrey Tavis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Tavis was last updated on April 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2008PECOS Enrolled

12900 PARK PLAZA DR, STE 150, MS 7110, CERRITOS, CA 90703(562) 741-4470(562) 741-4479 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jeffrey Han Tavis M.d. NPPES

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

DR. JEFFREY HAN TAVIS M.D. (NPI 1750568242) is an individual internal medicine provider in Cerritos, California, licensed in California (A102252) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750568242

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEFFREY HAN TAVISCredential: M.D.

Location Address12900 PARK PLAZA DR, STE 150, MS 7110Cerritos, CA 90703-9329

Mailing Address203 W 6th StCorona, CA 92882-3302 · (951) 356-8500 · Fax (951) 356-8828

Phone(562) 741-4470

Fax(562) 741-4479

Sole ProprietorYes

Enumeration DateJanuary 27, 2008

Last NPPES UpdateApril 17, 2013

✔ NPI 1750568242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A102252

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12900 PARK PLAZA DR, Cerritos, CA 90703

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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 (PECOS)

Dr. Jeffrey Han Tavis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.