Porvenir Tan II, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95039511 Issued in CA

Practice address

1331 W Avenue J # 101
Lancaster, CA 93534-2942

Phone

(661) 381-4213

NPI assigned

May 12, 2026

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1700714383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27507 SPENCER CT APT 202",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876698",
            "telephone_number": "661-955-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J # 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342942",
            "telephone_number": "661-381-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "PORVENIR",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy T Tamayo, IMFT
• Tamding Tempo, M.D., Inc.
• Edward Thomas Tammara, P.A.-C
• Loreen Barlin Tan-Eslao, M.D.
• Luis Dakay Tan Jr., M.D.
• Christina Alice Tang, OD
• Michael Y Tang, MSW
• Martin Patterson Tanner, LCSW
• Bishoy Tannious, PHARMD
• Ben Tantayanubutr, MD

• Family Nurse Practitioner in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.