Active NPI
Tan Ki Hung, R.D
- Registered Dietitian
- San Gabriel, CA
National Provider Identifier
1437448206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1059517
- Practice address
- 364 S Willard Ave
San Gabriel, CA 91776-1936 - Phone
- (626) 476-5006
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1059517 | CA | Primary |
Addresses
Primary practice location
364 S Willard Ave
San Gabriel, CA 91776-1936
Mailing address
364 S Willard Ave
San Gabriel, CA 91776-1936
Phone (626) 476-5006
Other names 1
- Ms. Sophie Hung
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059517 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tan Ki Hung LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1437448206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 S WILLARD AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761936",
"telephone_number": "626-476-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 S WILLARD AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761936",
"telephone_number": "626-476-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNG",
"first_name": "TAN",
"middle_name": "KI",
"name_prefix": "Ms.",
"credential": "R.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1059517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIE",
"last_name": "HUNG",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.