| NPI | 1083771489 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-01-03 |
| Last Updated | 2012-11-08 |
| Mailing Address | 516 West Aten Road, Suite 2 Imperial, CA 92251 United States Phone: (760) 355-7730 | Fax: (760) 355-7731 📍 View Map |
| Primary Practice Address | 751 West Legion Road, Suite 102 Brawley, CA 92227 United States Phone: (760) 351-8696 | Fax: (760) 545-0253 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CA | W13536A | MEDICARE GROUP |
| Other (non-Medicare) | CA | W13536B | MEDIARE GROUP # |
| Other (non-Medicare) | CA | W13536C | MEDICARE GROUP # |
| Other (non-Medicare) | CA | W13536D | MEDICARE GROUP # |
| Other (non-Medicare) | CA | GR0066310 | Medi-cal Group |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | CA | A55855 |
| No | 207Q00000X – Family Medicine | CA | A055855 |
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About NPI 1083771489
Yong Tan M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083771489. The primary specialty listed is Family Medicine. The provider is located in Brawley, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083771489?
NPI 1083771489 belongs to Yong Tan M.D., a Family Medicine in Brawley, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083771489 active?
The current status of NPI 1083771489 in the NPPES registry is Active. The record was last updated on 2012-11-08.
What specialty is NPI 1083771489?
NPI 1083771489 is classified under the taxonomy Family Medicine. 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 1083771489?
You can verify NPI 1083771489 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 1083771489?
The primary practice address on file for NPI 1083771489 is 751 West Legion Road, Suite 102, Brawley, CA 92227. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083771489 issued?
NPI 1083771489 was first issued (enumerated) on 2007-01-03. The NPPES record was last updated on 2012-11-08.
Practice Location Map
Yong Tan is located at 751 West Legion Road, Suite 102, Brawley, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Yong Tan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083771489. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | A55855 | CA |
| Family Medicine | A055855 | CA |