NPIMap

Individual provider Active NPI

Timothy Lang Tan, M.D.

  • Orthopaedic Surgery Physician
  • Visalia, CA
National Provider Identifier
1023404910
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A167215 Issued in CA
Practice address
2300 W Sunnyside Ave
Visalia, CA 93277-7287
Phone
(559) 731-2009
Fax
(866) 833-7251
NPI assigned
Apr 8, 2015
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A167215 CA Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A167215 CA

Addresses

Primary practice location

2300 W Sunnyside Ave
Visalia, CA 93277-7287

Mailing address

1946 Clover CT
Pleasanton, CA 94588-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821001788 CA Practitioner - Orthopedic Surgery 8325367329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porterville Community Physicians IncGroup PAC ID 6800895251, 7 clinicians

Practice addresses (Care Compare)

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 788-6039

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement54
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A167215CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Orthopaedic Surgery CurrentSince Jul 31, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 31, 2020 Accepting new patients
UCSF Medical Group Business Services Orthopaedic Surgery CurrentSince Jul 31, 2020 Accepting new patients
Porterville Community Physicians Inc CurrentSince Jul 23, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 31, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
Sequoia Institute for Surgical Services, LLC Past Accepting new patients

Locations

263 Pearson Dr
Porterville, CA 93257
Phone (559) 791-3933

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1500 Owens St
San Francisco, CA 94158
Phone (415) 353-2808

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1023404910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 CLOVER CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W SUNNYSIDE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777287",
            "telephone_number": "559-731-2009",
            "fax_number": "866-833-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "TIMOTHY",
        "middle_name": "LANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A167215",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A167215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.