Jonathan Joseph Tan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53159 Issued in CA

Practice address

1040 W Imperial Hwy Ste D
La Habra, CA 90631-0608

Phone

(714) 451-1072

Fax

(714) 451-1078

NPI assigned

Jul 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Dalia Dawoud MD IncGroup PAC ID 7012370265, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.tan.1@15000.direct.athenahealth.com

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.

• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Chino Hills, CA
  • NPI 1437867900
  Medicare reassignment Care Compare group NPD
• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232
  Medicare reassignment Care Compare group
• Portola Medical Services PC

  • Urgent Care Clinic/Center
  • Lake Forest, CA
  • NPI 1871962076
  Medicare reassignment Care Compare group
• St Jude Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Fullerton, CA
  • NPI 1720190804
  Medicare reassignment
• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Pasadena, CA
  • NPI 1255957205
  NPD
• Orange County Urgent Care #3, Inc.

  • Urgent Care Clinic/Center
  • Long Beach, CA
  • NPI 1619445111
  NPD
• Cypress Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Cypress, CA
  • NPI 1881836989
  NPD (past)
• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1639990492
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1285010322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E JEANETTE LN UNIT 146",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056027",
            "telephone_number": "516-244-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W IMPERIAL HWY STE D",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310608",
            "telephone_number": "714-451-1072",
            "fax_number": "714-451-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5424 Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907131533",
            "country_code": "US",
            "telephone_number": "562-452-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2707 E Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917923195",
            "country_code": "US",
            "telephone_number": "626-243-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Valencia Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353809",
            "country_code": "US",
            "telephone_number": "714-871-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8891 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917631618",
            "country_code": "US",
            "telephone_number": "909-297-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 N Rose Dr",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928707522",
            "country_code": "US",
            "telephone_number": "714-406-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20635 Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928867133",
            "country_code": "US",
            "telephone_number": "714-581-9497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 S Weir Canyon Rd Ste 165",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928081962",
            "country_code": "US",
            "telephone_number": "714-453-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "081905",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Taylor Swain, LMFT
• Curtis William Sweet
• Daniel Tabello
• Rozita Taghdis, PHARM.D.
• Christina Tamondong, PT, DPT
• Patrick Dizon Tan
• Telecare Orange County Crisis
• Dania Tenorio, PA-C
• Adam Thaher
• The Gary Center

• Physician Assistant in La Habra, CA
• Providers in La Habra, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.

Verify at the official NPI Registry.