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MAVERICK TAN
NPI 1922785492
Physician Assistant in Fullerton, CA

Active since June 28, 2023
2575 YORBA LINDA BLVD, FULLERTON, CA 92831(714) 992-7808 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maverick Tan NPPES

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

MAVERICK TAN (NPI 1922785492) is an individual physician assistant provider in Fullerton, California and active in the NPI registry since June 2023.Information from the official NPPES registry record, last updated June 28, 2023.

NPPES Registry Identity

NPI1922785492
Entity TypeIndividualMale
Provider Legal NameMAVERICK TAN
Location Address2575 YORBA LINDA BLVDFullerton, CA 92831-1615
Mailing Address2575 Yorba Linda BlvdFullerton, CA 92831-1615 · (714) 992-7808
Phone(714) 992-7808
Sole ProprietorYes
Enumeration DateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1922785492 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Physician Assistant

Taxonomy 363A00000X · Physician Assistants & Advanced Practice Nursing Providers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the… Show more

2575 YORBA LINDA BLVD, Fullerton, CA 92831
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

DR. GEORGE WILLIAM COMER OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7405
DR. JULIE ANN SCHORNACK OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7418
DR. TIMOTHY B EDRINGTON OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7422
DR. JOHN HAIIME NISHIMOTO OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7409
DR. JOHN HOWARD LEE OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7837
DR. MARK HACHIRO SAWAMURA OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7407
DR. SUSAN A COTTER OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7488
DR. JAMES OWEN LAMOTTE OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7486
DR. KRISTINE HUANG OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7435
DR. RAYMOND HUGH-L CHU OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7876
DR. ERIC JEFFERY BORSTING OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7436
DR. WILLIAM H RIDDER OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7494
DR. FARRAH FIROZALI SUNDERJI O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7419
DR. KENNETH EDWARD BROOKMAN O.D.
Optometrist
2575 YORBA LINDA BLVD, YORBA LINDA
FULLERTON, CA 92831
Orange County (714) 449-7498
DR. EUNICE MYUNG LEE O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7424
DR. JERRY R PAUGH OD
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7487
DR. JASON NG O.D.
Optometrist
2575 YORBA LINDA BLVD, SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
FULLERTON, CA 92831
Orange County (714) 449-7459
DR. ROBERT MICHAEL YACOUB O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7842
DR. ALAN SASAI O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7496
JUSTIN R WEBB O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7814

Frequently Asked Questions

What is Maverick Tan's NPI number?

The NPI number assigned to this healthcare provider is 1922785492, enumerated as an "individual" on June 28, 2023.

Where is the provider located?

The provider is located at 2575 YORBA LINDA BLVD FULLERTON, CA 92831 and the phone number is (714) 992-7808.

What is the provider's specialty?

Physician Assistant with taxonomy code 363A00000X.