Individual provider Active NPI

Dorothy Hui-Jia Tan, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1174101976
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A196915 Issued in CA
Practice address
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone
(415) 600-6000
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A196915 CA Primary

Addresses

Primary practice location

1101 Van Ness Ave
San Francisco, CA 94109-6919

Mailing address

601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200
Phone (415) 531-9047

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912003614 CA Practitioner - Internal Medicine 6204376569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Inpatient Medical GroupGroup PAC ID 6608956966, 128 clinicians

Practice addresses (Care Compare)

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 485-8824

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A196915CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Inpatient Medical Group Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients

Locations

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

601 Van Ness Ave
Ste E3619
San Francisco, CA 94102
Phone (415) 531-9047

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1101 Van Ness Ave
Ste 1120
San Francisco, CA 94109
Phone (415) 600-3954

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

Interoperability endpoints

  • Direct secure messaging: dtan579437@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1174101976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE STE E3619",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023200",
            "telephone_number": "415-531-9047",
            "fax_number": "415-213-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "DOROTHY HUI-JIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A196915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.