Active NPI
Matthew Hong Gie Tan, MD
- Anesthesiology Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A182435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Southern California Keck School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 65.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182435 | CA | MD | Anesthesiology Physician |
| 036165387 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Foothills Pain Management Clinic PC | Pain Medicine | Current | Accepting new patients |
| Emanate Pain Management Medical Group PC | Past | 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.
-
- Interventional Pain Medicine Physician
- Covina, CA
- NPI 1487885372
-
- Anesthesiology Physician
- Orange, CA
- NPI 1508138256
-
- Interventional Pain Medicine Physician
- Rancho Cucamonga, CA
- NPI 1881458891
-
- Neurology Physician
- Pomona, CA
- NPI 1376967422
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citrus Valley Medical Center Queen Of the Valley Campus
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
dba Emanate Health Inter-Community Hospital
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.