Individual provider Active NPI

Tingting Tan, M.D. PH.D.

  • Hematology & Oncology Physician
  • Newport Beach, CA
National Provider Identifier
1669627238
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A109526 Issued in CA
Practice address
1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone
(949) 763-2204
NPI assigned
Nov 24, 2008
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A109526 CA Primary

Addresses

Primary practice location

1601 Avocado Ave
Newport Beach, CA 92660-7798

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

1245 Wilshire Blvd
Suite 303
Los Angeles, CA 90017-4810
Phone (213) 977-1214

Other practice location 2

201 S Alvarado St Ste 110
Los Angeles, CA 90057
Phone (213) 484-6474

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com City of Hope

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000587 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0345435285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109526CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 21, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 21, 2015 Accepting new patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince Feb 15, 2020 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Metropolitan Hematology Oncology Medical Group, Inc Hematology & Oncology PastSince Oct 1, 2019 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cogent Healthcare of California, PC Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: ttan56857@cityofhope.direct-ci.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 3

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1669627238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607798",
            "telephone_number": "949-763-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Wilshire Blvd",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174810",
            "country_code": "US",
            "telephone_number": "213-977-1214",
            "fax_number": "213-482-8868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Alvarado St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90057",
            "country_code": "US",
            "telephone_number": "213-484-6474",
            "fax_number": "323-484-8470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "TINGTING",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A109526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "City of Hope",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.