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Export Provider Record NPI 1215394036
Kc Tan, M.d. Medical Corporation
Organization Subpart: NO
Active
NPI Number1215394036
NPI TypeNPI-2 Organization
Provider Details
NPI1215394036
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2016-01-25
Last Updated2025-09-10
Authorized OfficialKok Chye Tan
President
Phone: 6268613131
Mailing Address713 W Duarte Rd Unit G-781
Arcadia, CA 91007-7564
United States
Phone: (626) 282-0296
📍 View Map
Primary Practice Address525 N Garfield Ave
Monterey Park, CA 91754-1202
United States
Phone: (626) 522-6030 | Fax: (626) 782-7462
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No2085R0202X – Radiology, Diagnostic RadiologyCAA120081
No2085R0204X – Radiology, Vascular & Interventional RadiologyCAA120081
Yes2085N0700XCAA120081
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About NPI 1215394036

Kc Tan, M.d. Medical Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1215394036. The organization is located in Monterey Park, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-01-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215394036?

NPI 1215394036 belongs to Kc Tan, M.d. Medical Corporation in Monterey Park, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215394036 active?

The current status of NPI 1215394036 in the NPPES registry is Active. The record was last updated on 2025-09-10.

What specialty is NPI 1215394036?

The taxonomy for NPI 1215394036 can be viewed in the Taxonomy section above. 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 1215394036?

You can verify NPI 1215394036 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 1215394036?

The primary practice address on file for NPI 1215394036 is 525 N Garfield Ave, Monterey Park, CA 91754-1202. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215394036 issued?

NPI 1215394036 was first issued (enumerated) on 2016-01-25. The NPPES record was last updated on 2025-09-10.

Practice Location Map

Kc Tan, M.d. Medical Corporation is located at 525 N Garfield Ave, Monterey Park, CA. Use the map below to find directions or verify the practice location.

📍 525 N Garfield Ave, Monterey Park, CA 91754-1202  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kc Tan, M.d. Medical Corporation. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1215394036. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Radiology, Diagnostic RadiologyA120081CA
Radiology, Vascular & Interventional RadiologyA120081CA
2085N0700XA120081CA
Data Verified from CMS NPPES Last synced: 2026-08-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162