Active NPI
KC Tan, M.D. Medical Corporation
- Neuroradiology Physician
- Monterey Park, CA
National Provider Identifier
1215394036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- A120081
- Legal business name
- KC TAN, M.D. MEDICAL CORPORATION
- Practice address
- 525 N Garfield Ave
Monterey Park, CA 91754-1202 - Phone
- (626) 522-6030
- Fax
- (626) 782-7462
- NPI assigned
- Jan 25, 2016
- Last updated
- Sep 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kok Chye Tan, M.D.
- Title
- President
- Phone
- (626) 861-3131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | A120081 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A120081 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A120081 | CA |
Addresses
Primary practice location
525 N Garfield Ave
Monterey Park, CA 91754-1202
Mailing address
713 W Duarte Rd Unit G-781
Arcadia, CA 91007-7564
Phone (626) 282-0296
Other practice location 1
223 N Garfield Ave Ste 201
Monterey Park, CA 91754-1700
Phone (626) 228-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AK, IL, KY, FL, OR, TX, AZ, MD, HI, NY, OK, NJ, GA, PA, NV
Enrollment records 16
National Provider Directory
National Provider DirectoryLocations
713 W Duarte Rd
Unit G781
Arcadia, CA 91007
713 W Duarte Rd
Unit G865
Arcadia, CA 91007
3455 S Nogales St
Ste 140
West Covina, CA 91792
Practitioners & affiliated clinicians
Practitioners 93
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neuroradiology Physician
- Monterey Park, CA
- NPI 1891974283
-
- Vascular & Interventional Radiology Physician
- Marina del Rey, CA
- NPI 1932153731
-
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1659317667
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1780691287
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1578578266
-
- Diagnostic Radiology Physician
- Redlands, CA
- NPI 1629332473
-
- Diagnostic Radiology Physician
- Whittier, CA
- NPI 1427114602
-
- Body Imaging Physician
- Van Nuys, CA
- NPI 1265469027
-
- Neurology Physician
- Anaheim, CA
- NPI 1467879452
-
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
- NPI 1891255246
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Arcadia, CA
- NPI 1962762294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757462400000",
"number": "1215394036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W DUARTE RD UNIT G-781",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077564",
"telephone_number": "626-282-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N GARFIELD AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541202",
"telephone_number": "626-522-6030",
"fax_number": "626-782-7462"
}
],
"practiceLocations": [
{
"address_1": "223 N Garfield Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Monterey Park",
"state": "CA",
"postal_code": "917541700",
"country_code": "US",
"telephone_number": "626-228-3210",
"fax_number": "626-495-0210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KC TAN, M.D. MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "KOK CHYE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-861-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "A120081",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A120081",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A120081",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.