Irma Tan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001459 Issued in CA

Practice address

1250 16TH Street
San Monica, CA 90731

Phone

(424) 333-2251

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Elite Pain Management Inc.

  • Interventional Pain Medicine Physician
  • Santa Ana, CA
  • NPI 1346449394
  Medicare reassignment NPD
• Reekeshrpatelmd Inc

  • Pain Medicine Physician
  • Hawthorne, CA
  • NPI 1225493356
  Medicare reassignment NPD
• Sky Anesthesia Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Hawthorne, CA
  • NPI 1962050401
  NPD (past)
• The Regents of the University of California

  dba UCLA Dept of Medicine

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1427454255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 S GRAND AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315914",
            "telephone_number": "424-333-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH STREET",
            "city": "SAN MONICA",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "424-333-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 EAST FIRTS ST.",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "country_code": "US",
            "telephone_number": "714-556-7246",
            "fax_number": "714-556-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "IRMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.