ANDY TIEN M.D.
NPI 1790217800
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(833) 574-2273 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2021, Jan 16, 2020, Mar 29, 2017 (3 updates tracked since 2017).

About Andy Tien M.d. NPPES

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

ANDY TIEN M.D. (NPI 1790217800) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2017).

NPPES Registry Identity

NPI1790217800
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDY TIENCredential: M.D.
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2020
✔ NPI 1790217800 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.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andy Tien M.d. 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 ID7719313733
PECOS Enrollment IDI20200210002258
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.

Medicare Billing Reassignment

Medicare enrollment records show Andy Tien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027

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 Andy Tien's NPI number?

The NPI number for Andy Tien is 1790217800. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Andy Tien located?

Andy Tien practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (833) 574-2273.

What is Andy Tien's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andy Tien enrolled in Medicare?

Yes. Andy Tien 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.

Which organization bills Medicare for Andy Tien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Tien reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andy Tien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andy Tien was last updated on December 3, 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.