Individual provider Active NPI

Matthew Hong Gie Tan, MD

  • Anesthesiology Physician
  • Santa Ana, CA
National Provider Identifier
1518527845
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A182435 Issued in CA
Practice address
1950 E 17TH St Ste 200
Santa Ana, CA 92705-6852
Phone
(714) 495-4050
Fax
(714) 497-1485
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036165387 IL
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A182435 CA Primary

Addresses

Primary practice location

1950 E 17TH St Ste 200
Santa Ana, CA 92705-6852

Mailing address

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119003507 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4587018601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Southern California Keck School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Pain Management Clinic PCGroup PAC ID 5698828101, 9 clinicians

Practice addresses (Care Compare)

1828 E Cesar E Chavez Ave
Suite 6200
Los Angeles, CA 90033-2585
Phone (626) 608-7320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182435CAMDAnesthesiology Physician
036165387ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Oct 22, 2024 Accepting new patients
Foothills Pain Management Clinic PC Pain Medicine CurrentSince Dec 1, 2024 Accepting new patients
Emanate Pain Management Medical Group PC PastSince Feb 11, 2024 Accepting new patients
The Neurology Group Inc Past Accepting new patients

Locations

236 W College St
Covina, CA 91723
Phone (626) 732-2200

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1828 E Cesar E Chavez Ave
Ste 4500
Los Angeles, CA 90033
Phone (323) 352-3000

1828 E Cesar E Chavez Ave
Ste 6200
Los Angeles, CA 90033
Phone (213) 328-0819

1828 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 859-3634

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

9120 Haven Ave
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 803-0647

767 S Sunset Ave
Ste 3
West Covina, CA 91790
Phone (626) 338-8409

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1518527845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693206",
            "telephone_number": "714-633-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 17TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056852",
            "telephone_number": "714-495-4050",
            "fax_number": "714-497-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MATTHEW",
        "middle_name": "HONG GIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036165387",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A182435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.