Richard Saavedra Tan

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95018113 Issued in CA

Practice address

2835 W Valley Blvd
Alhambra, CA 91803-1818

Phone

(626) 281-3265

NPI assigned

Aug 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

California University of Science and Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ngo Phan MD IncGroup PAC ID 0042460065, 4 clinicians

Brittany Wertz, DO IncGroup PAC ID 1153712849, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

59.33 of 100Reported as group

Quality

0

Improvement activities

40

Cost

64.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Brittany Wertz, DO Inc

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1447912241
  Medicare reassignment Care Compare group NPD
• Ngo Phan MD Inc

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1952663114
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1548936602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 DEERHAVEN DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453314",
            "telephone_number": "626-363-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031818",
            "telephone_number": "626-281-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "678 S Indian Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917116002",
            "country_code": "US",
            "telephone_number": "909-399-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "RICHARD",
        "middle_name": "SAAVEDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95018113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eu Nee Tan-Verdugo
• Isabella Maria Camello Tan
• Mary Grace Tan, D.P.T.
• Michael P Tan, D.O.
• Pei Shan Tan, FNP
• Tracy Tang-Casey
• Jen Lan Tang, LMFT
• Jeniffer Tang
• Lily Muylan Tang
• Lok Yi Tang

• Gerontology Nurse Practitioner in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.