MR. BENJO TAN
NPI 1841966249
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA

Q: What is Benjo Tan's NPI number?

The NPI number for Benjo Tan is 1841966249. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Q: What is Benjo Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Benjo Tan was last updated on September 12, 2022. 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.

Active since August 17, 2021PECOS EnrolledAccepts Medicare Assignment

520 N MAIN ST STE 220, SANTA ANA, CA 92701(714) 543-5609 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2022, Aug 23, 2021, Aug 17, 2021 (3 updates tracked since 2021).

On this page

About Mr. Benjo Tan NPPES

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

MR. BENJO TAN (NPI 1841966249) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95017880) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1841966249

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. BENJO TAN

Location Address520 N MAIN ST STE 220Santa Ana, CA 92701-4623

Mailing Address382 N Lemon Ave # 401Walnut, CA 91789-2344 · (949) 394-7094

Phone(714) 543-5609

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 17, 2021

Last NPPES UpdateSeptember 12, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2022

✔ NPI 1841966249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95017880

520 N MAIN ST STE 220, Santa Ana, CA 92701

Open in Google Maps ↗

Secondary Practice Locations 3

Location 120705 Kelfield DrDiamond Bar, CA 91789 · Phone (949) 394-7094

Location 24000 Birch St Ste 112Newport Beach, CA 92660-2255 · Phone (949) 216-3851

Location 316823 Arrow BlvdFontana, CA 92335-3803 · Phone (949) 394-7094

Other Identifiers 1

Other95017880CA · Nurse Practitioner License

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

Mr. Benjo 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 ID2769874890

PECOS Enrollment IDI20220121000573

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 Reassignments

Medicare enrollment records show Benjo Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Center

Same address

Federally Qualified Health Center (FQHC)

520 N MAIN ST STE 120
Santa Ana, CA 92701

Reassigned Medicare billing, California enrollment
35 clinicians in this Medicare group

NPI 1184234726 (714) 352-5800

New Foundation Medical Inc.

Same address

Multi-Specialty

520 N MAIN ST STE 120
Santa Ana, CA 92701

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1689023582 (714) 352-5800

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,987 services268 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

382 services75 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

196 services36 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

161 services139 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

123 services119 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

75 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 9

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

DR. WEIMING DAVID CHU M.D.

Psychiatry & Neurology (Psychiatry)