Active NPI
Anna Maria Maglunog Tan, DPM
- Foot & Ankle Surgery Podiatrist
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5307
- Practice address
- 412 W Carroll Ave Ste 107
Glendora, CA 91741-4708 - Phone
- (626) 963-8351
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5307 | CA | Primary |
Addresses
Primary practice location
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
Mailing address
1135 S Sunset Ave Ste 200
West Covina, CA 91790-3937
Phone (626) 918-6655
Other practice location 1
1135 S Sunset Ave Ste 200
West Covina, CA 91790-3937
Phone (626) 918-6655
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013000329 | CA | Practitioner - Podiatry | 5698040806 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5307 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Group | Current | Accepting new patients | |
| Emanate Health Medical Group | Current | Accepting new patients | |
| Emanate Health Medical Care Foundation | Current | Accepting new patients | |
| Citrus Valley Physician Partners | Current | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients |
Locations
14375 Pipeline Ave
Chino, CA 91710
Phone (626) 918-6544
210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580
315 N 3rd Ave
Ste 102
Covina, CA 91723
Phone (626) 261-4048
440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402
250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118
412 W Carroll Ave
Ste 107
Glendora, CA 91741
Phone (626) 852-0411
1135 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 918-6655
1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390
1250 S Sunset Ave
Ste 100
West Covina, CA 91790
Phone (626) 338-1800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
CA
-
- Specialist
- West Covina, CA
- NPI 1043703150
-
- General Practice Physician
- Covina, CA
- NPI 1881054997
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- Rehabilitation Hospital Unit
- Napa, CA
- NPI 1609947282
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montclair, CA
- NPI 1487203832
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
Hospital
-
- Home Health Agency
- Diamond Bar, CA
- NPI 1487100103
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emanate Health Medical Care Foundation
Practice addresses (Care Compare)
1115 S Sunset Ave
West Covina, CA 91790-3940
412 W Carroll Ave
Suite 108
Glendora, CA 91741-4707
Phone (626) 852-0411
Hospital & facility affiliations
- Brightlane Healthcare, Inc.
- Sante Home Health, Inc
- Emanate Health Inter-Community Hospital
- Emanate Health Foothill Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.36 of 100
- Quality
- 60.04
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 69.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.35 of 100
- Quality
- 52.92
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 70.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 242 |
| Removal of nail tissue | 75 |
| Removal or shaving of skin growth | 84 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1154741858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE STE 200",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903937",
"telephone_number": "626-918-6655",
"fax_number": "626-918-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W CARROLL AVE STE 107",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414708",
"telephone_number": "626-963-8351"
}
],
"practiceLocations": [
{
"address_1": "1135 S Sunset Ave Ste 200",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917903937",
"country_code": "US",
"telephone_number": "626-918-6655",
"fax_number": "626-918-8614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAN",
"first_name": "ANNA MARIA",
"middle_name": "MAGLUNOG",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.