Active NPI
Raymond C. Tan, MD a Professional Corporation
- Radiation Oncology Physician
- Merced, CA
National Provider Identifier
1699896357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A73252
- Legal business name
- RAYMOND C. TAN, MD A PROFESSIONAL CORPORATION
- Practice address
- 3850 G St
Merced, CA 95340-8787 - Phone
- (209) 386-6000
- Fax
- (209) 386-6055
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Charles Tan, MD
- Title
- Ceo
- Phone
- (209) 386-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A73252 | CA | Primary |
Addresses
Primary practice location
3850 G St
Merced, CA 95340-8787
Mailing address
PO Box 1360
Mountain View, CA 94042-1360
Phone (209) 386-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A732520 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699896357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1360",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940421360",
"telephone_number": "209-386-6000",
"fax_number": "650-618-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 G ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953408787",
"telephone_number": "209-386-6000",
"fax_number": "209-386-6055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND C. TAN, MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-386-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A73252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A732520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.