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KELAN G. TANTISIRA MD MPH
NPI 1760420434
Internal Medicine - Pulmonary Disease in San Diego, CA

Active since June 03, 2006PECOS Enrolled
3030 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5846 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelan G. Tantisira Md Mph NPPES

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

KELAN G. TANTISIRA MD MPH (NPI 1760420434) is an individual pulmonary disease provider in San Diego, California, licensed in California (G67143) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760420434
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKELAN G. TANTISIRACredential: MD MPH
Location Address3030 CHILDRENS WAYSan Diego, CA 92123-4232
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Phone(858) 966-5846
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1760420434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in CA · G67143✔ Licensed in MA · 155411
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedPediatricsTaxonomy 208000000X · License G67143 (CA)
3030 CHILDRENS WAY, San Diego, CA 92123
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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)

Kelan G. Tantisira Md Mph 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 92123 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

DR. STEPHANIE LEONARD MEASURES MD
Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5961
DR. STEVEN ALEXANDER BUREKHOVICH MD
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
ERIC WILLIAM EDMONDS MD
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
San Diego County (858) 309-7701
ANGELA LEE CHU M.D.
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4003
HERBERT CLIFFORD KIMMONS JR. M.D.
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
San Diego County (858) 966-8567
PETER OWEN NEWTON M.D.
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
MARYLOU SCOTT CPNP
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789

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 Kelan Tantisira's NPI number?

The NPI number for Kelan Tantisira is 1760420434. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Kelan Tantisira located?

Kelan Tantisira practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5846.

What is Kelan Tantisira's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kelan Tantisira enrolled in Medicare?

Yes. Kelan Tantisira is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelan Tantisira was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.