Tan Family Practice Nursing Professional Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TAN FAMILY PRACTICE NURSING PROFESSIONAL CORPORATION

Practice address

17000 Upland Ave
Fontana, CA 92335-3535

Phone

(626) 905-5957

NPI assigned

Jul 6, 2026

Last updated

Jul 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ara Tan, NPNPI 1104574235

Title

President/Owner

Phone

(336) 837-8369

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ara Denise Tan, FNP-C

  • Nurse Practitioner
  • Torrance, CA
  • NPI 1104574235
  Authorized official Same address or phone
• Michael Tan, RN,NP

  • Nurse Practitioner
  • Fontana, CA
  • NPI 1992622344
  NPD (past)

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1538086996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 WHEELER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353538",
            "telephone_number": "626-905-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 UPLAND AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353535",
            "telephone_number": "626-905-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN FAMILY PRACTICE NURSING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-837-8369",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevie Summer Joy Taken
• Prisilla Talavera
• Gordon Tam
• Sarah Elizabeth Tamayo-Perez, FNP-C
• Daniel Tamayo
• Antonius Y. Tan, MD
• Caroline Tan, RN
• Gilda F Tan
• Michael Tan, RN,NP
• Shirley Tan

• Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.