Active NPI
Tingting Tan, M.D. PH.D.
- Hematology & Oncology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A109526
- Practice address
- 1601 Avocado Ave
Newport Beach, CA 92660-7798 - Phone
- (949) 763-2204
- NPI assigned
- Nov 24, 2008
- Last updated
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A109526 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| City of Hope Medical Foundation | Hematology & Oncology | Current | 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 | Past | 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@cityofhope.direct-ci.com
- 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.
-
dba City of Hope Duarte
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Garfield Medical Center
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
dba Monterey Park Hospital
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1366681074
-
dba California Hospital Medical Center - Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1154384758
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.