Individual provider Active NPI

Oscar Anthony Buan Tan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1548071426
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95033212 Issued in CA
Practice address
14433 Emelita St
Van Nuys, CA 91401-4213
Phone
(818) 787-1511
NPI assigned
Jan 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95033212 CA Primary

Addresses

Primary practice location

14433 Emelita St
Van Nuys, CA 91401-4213

Mailing address

14433 Emelita St
Van Nuys, CA 91401-4213
Phone (818) 787-1511

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909000146 CA Practitioner - Nurse Practitioner 6002318003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

180 S Lake Ave
Suite 615
Pasadena, CA 91101-4763

27830 Ferguson Dr
Castaic, CA 91384-2517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95033212CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California TMS Center Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

2045 Compton Ave
Ste 205
Corona, CA 92881

940 S Coast Dr
Ste 215
Costa Mesa, CA 92626

16055 Ventura Blvd
Ste 717
Encino, CA 91436
Phone (818) 215-0367

700 N Brand Blvd
Ste 460
Glendale, CA 91203
Phone (310) 488-0329

23832 Rockfield Blvd
Ste 130
Lake Forest, CA 92630
Phone (949) 297-6680

3711 Long Beach Blvd
Ste 910
Long Beach, CA 90807

2100 Sawtelle Blvd
Ste 206
Los Angeles, CA 90025
Phone (310) 467-5071

4221 Wilshire Blvd
Ste 455
Los Angeles, CA 90010

180 S Lake Ave
Ste 615
Pasadena, CA 91101
Phone (626) 683-9158

711 W Kimberly Ave
Ste 100
Placentia, CA 92870

10630 Town Center Dr
Ste 129
Rancho Cucamonga, CA 91730

299 W Hillcrest Dr
Ste 113
Thousand Oaks, CA 91360

3655 Torrance Blvd
Ste 240
Torrance, CA 90503

Organizations & group practices 1

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": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1548071426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 EMELITA ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014213",
            "telephone_number": "818-787-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 EMELITA ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014213",
            "telephone_number": "818-787-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "OSCAR ANTHONY",
        "middle_name": "BUAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95033212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.