Active NPI
Cel Kristian Tan Milan
- Physician Assistant
- Thousand Oaks, CA
National Provider Identifier
1295596245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130 - Phone
- (888) 367-1850
- NPI assigned
- Jan 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130
Mailing address
PO Box 5276
North Hollywood, CA 91616-5276
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3095 Old Conejo Rd
Suite 200
Thousand Oaks, CA 91320-2130
Phone (888) 367-1850
5725 Soto St
Huntington Park, CA 90255-2630
Phone (888) 367-1850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rheumatology Institute Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Dermatology Physician
- Thousand Oaks, CA
- NPI 1235671389
-
- Rheumatology Physician
- Huntington Park, CA
- NPI 1326857772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1295596245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5276",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916165276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 OLD CONEJO RD STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913202130",
"telephone_number": "888-367-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAN",
"first_name": "CEL KRISTIAN",
"middle_name": "TAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-17",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.