Yong Tan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A55855 Issued in CA

Practice address

751 West Legion Road, Suite 102
Brawley, CA 92227

Phone

(760) 351-8696

Fax

(760) 545-0253

NPI assigned

Jan 3, 2007

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Imperial Valley Family Care Medical Group a P CGroup PAC ID 0446243083, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trustedcare Home Health of Imperial Valley Home health agency, El Centro, CA, CCN 757487
• Accentcare Home Health of California Inc Home health agency, El Centro, CA, CCN 557425
• Uni Care Home Care Inc Home health agency, El Centro, CA, CCN 057415
• Assisting Hands Health Care Home health agency, Glendale, CA, CCN 559460
• N Your Home Health Care Home health agency, El Centro, CA, CCN 059588
• Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yong.tan@ivfcmg.eclinicaldirectplus.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Imperial Valley Family Care Medical Group, Apc

  • Rural Health Clinic/Center
  • Brawley, CA
  • NPI 1508295502

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Imperial Valley Family Care Medical Group Apc

  • General Practice Physician
  • Imperial, CA
  • NPI 1275581894
  Medicare reassignment Care Compare group NPD
• Imperial Valley Family Care Medical Group, Apc

  • Cardiac Rehabilitation Registered Nurse
  • Imperial, CA
  • NPI 1750112587
  NPD
• Pioneers Memorial Healthcare District

  dba Calexico Health Center RHC

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1437122769
  NPD (past)

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

• Accentcare Home Health of California, Inc

  • Home Health Agency
  • El Centro, CA
  • NPI 1740242718
  Care Compare affiliation
• Argo Home Health Inc

  • Home Health Agency
  • Valley Village, CA
  • NPI 1578146312
  Care Compare affiliation
• Assisting Hands Health Care

  • Home Health Agency
  • El Centro, CA
  • NPI 1275156481
  Care Compare affiliation
• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation
• Imperial Valley Healthcare District

  dba Pioneers Memorial Hospital

  • General Acute Care Hospital
  • Brawley, CA
  • NPI 1184429185
  Care Compare affiliation
• N Your Home Health Care

  • Home Health Agency
  • El Centro, CA
  • NPI 1013168046
  Care Compare affiliation
• Uni Care Home Care Inc.

  • Home Health Agency
  • El Centro, CA
  • NPI 1003215518
  Care Compare affiliation

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1083771489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WEST ATEN ROAD, SUITE 2",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-355-7730",
            "fax_number": "760-355-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 WEST LEGION ROAD, SUITE 102",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-351-8696",
            "fax_number": "760-545-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "YONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55855",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A055855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "W13536C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE GROUP #",
            "identifier": "W13536B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP",
            "identifier": "GR0066310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W13536A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "W13536D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunny R Richley MD Corporation
• Susan J Hahm MD Inc
• Patrick Henry Sweet III, MD
• Joe Anthony Tabarez, PA
• Shahrouz Tahvilian, M.D.
• Adrienne Alyssa Taylor
• Alexandra Taylor
• Nina Ngan Thai, CRNA
• Marylou Cayetano Thelmo, M.D.
• Christopher Leslie Thompson, PA-C

• Family Medicine Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.