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Export Provider Record NPI 1043546112
Imelda Tan TanchocoM.D.
Active
NPI Number1043546112
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1043546112
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-10-26
Last Updated2009-10-26
Mailing Address21324 Stockton Pass Rd
Walnut, CA 91789-5111
United States
Phone: (626) 233-4964
📍 View Map
Primary Practice Address21324 Stockton Pass Rd
Walnut, CA 91789-5111
United States
Phone: (626) 233-4964
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsCAA106359
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About NPI 1043546112

Imelda Tan Tanchoco M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043546112. The primary specialty listed is Pediatrics. The provider is located in Walnut, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-10-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043546112?

NPI 1043546112 belongs to Imelda Tan Tanchoco M.D., a Pediatrics in Walnut, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043546112 active?

The current status of NPI 1043546112 in the NPPES registry is Active. The record was last updated on 2009-10-26.

What specialty is NPI 1043546112?

NPI 1043546112 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043546112?

You can verify NPI 1043546112 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043546112?

The primary practice address on file for NPI 1043546112 is 21324 Stockton Pass Rd, Walnut, CA 91789-5111. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043546112 issued?

NPI 1043546112 was first issued (enumerated) on 2009-10-26. The NPPES record was last updated on 2009-10-26.

Practice Location Map

Imelda Tan Tanchoco is located at 21324 Stockton Pass Rd, Walnut, CA. Use the map below to find directions or verify the practice location.

📍 21324 Stockton Pass Rd, Walnut, CA 91789-5111  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Imelda Tan Tanchoco. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1043546112. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PediatricsA106359CA
Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162