Individual provider Active NPI

Alex Yu Hong Tan, MBBS

  • Clinical Cardiac Electrophysiology Physician
  • Los Angeles, CA
National Provider Identifier
1609054253
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101279710 Issued in VA
Practice address
8700 Beverly Blvd
Cedars-Sinai Medical Center
Los Angeles, CA 90048
Phone
(310) 423-5583
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101279710 VA Primary

Addresses

Primary practice location

8700 Beverly Blvd
Cedars-Sinai Medical Center
Los Angeles, CA 90048

Mailing address

1425 N Alta Vista Blvd
Apt 213
Los Angeles, CA 90046-4338
Phone (323) 788-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250612002855 OR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 2264684950 Reassigns benefits to 1 organization
I20260612001522 VA Practitioner - Cardiac Electrophysiology 2264684950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

5838 Harbour View Blvd
Suffolk, VA 23435-2663

Hospital & facility affiliations

  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101279710VAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Jun 1, 2025 Accepting new patients
Bay Area Hospital District General Acute Care Hospital CurrentSince Jun 1, 2025 Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

Interoperability endpoints

  • Direct secure messaging: atan217305@secure.stcharleshealthcare.org

Organizations & group practices 3

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 10

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1609054253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N ALTA VISTA BLVD",
            "address_2": "APT 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464338",
            "telephone_number": "323-788-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "CEDARS-SINAI MEDICAL CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ALEX",
        "middle_name": "YU HONG",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101279710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.