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SUSANNA YU TAN M.D.
NPI 1790028728
Internal Medicine - Infectious Disease in Rancho Santa Margarita, CA

Active since March 28, 2013PECOS Enrolled
1 LEGACY WAY, RANCHO SANTA MARGARITA, CA 92688(626) 319-8791 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susanna Yu Tan M.d. NPPES

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

SUSANNA YU TAN M.D. (NPI 1790028728) is an individual infectious disease provider in Rancho Santa Margarita, California, licensed in California (A139148) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790028728
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSUSANNA YU TANCredential: M.D.
Location Address1 LEGACY WAYRancho Santa Margarita, CA 92688-5565
Mailing Address5901 E 7th St Dept OfLong Beach, CA 90822-5201 · (562) 826-8000
Phone(626) 319-8791
Sole ProprietorNo
Enumeration DateMarch 28, 2013
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1790028728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CA · A139148
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1 LEGACY WAY, Rancho Santa Margarita, CA 92688
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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)

Susanna Yu Tan 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 92688 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.

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 Susanna Tan's NPI number?

The NPI number for Susanna Tan is 1790028728. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Susanna Tan located?

Susanna Tan practices at 1 Legacy Way, Rancho Santa Margarita, CA 92688. The listed phone number is (626) 319-8791.

What is Susanna Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Susanna Tan enrolled in Medicare?

Yes. Susanna Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susanna Tan was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.