Noralda Quitain Tan, MSN FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 22780 Issued in CA

Practice address

27341 Rose Mallow LN
Canyon Country, CA 91387-6954

Phone

(661) 645-9357

Fax

(661) 367-4571

NPI assigned

Apr 17, 2013

Last updated

Mar 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Physicians of California Medical Group IncGroup PAC ID 8224945084, 92 clinicians

Central Valley Emergency MedicineGroup PAC ID 7113412560, 26 clinicians

Agoura Hills Urgentocare PCGroup PAC ID 3476981226, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
• Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Agoura Hills Urgentocare PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Agoura Hills, CA
  • NPI 1043840465
  Medicare reassignment Care Compare group NPD
• Central Valley Emergency Medicine

  • Emergency Medical Services (Emergency Medicine) Physician
  • Porterville, CA
  • NPI 1336956275
  Medicare reassignment Care Compare group NPD
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  dba Pinnacle Emergency Physicians of Bakersfield A Professional

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1619153251
  Medicare reassignment NPD
• Premier Health Partners

  • Emergency Medicine Physician
  • Blythe, CA
  • NPI 1609170232
  Medicare reassignment NPD
• Southland Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1932640935
  Medicare reassignment NPD
• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  Medicare reassignment
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1639415862
  NPD
• Ridgecrest Regional Hospital

  dba Ridgecrest Regional Hospital Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Ridgecrest, CA
  • NPI 1164067971
  NPD
• Ridgecrest Regional Hospital

  dba China Lake Community Health Clinic

  • Rural Health Clinic/Center
  • Ridgecrest, CA
  • NPI 1639448400
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  Care Compare affiliation
• Ridgecrest Regional Hospital

  • Land Ambulance
  • Ridgecrest, CA
  • NPI 1699398560

  Hospital

  Care Compare affiliation
• Sierra View Local Health Care District

  dba Sierra View Medical Center

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  Care Compare affiliation

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1710320031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27341 ROSE MALLOW LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876954",
            "telephone_number": "661-645-9357",
            "fax_number": "661-367-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27341 ROSE MALLOW LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876954",
            "telephone_number": "661-645-9357",
            "fax_number": "661-367-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "NORALDA",
        "middle_name": "QUITAIN",
        "credential": "MSN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 22780",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF 22780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sulphur Springs Union School District
• Shauna Lee Summers
• Jeffrey Sumpolec, M.A. LPC
• Robert Anthony Swartz, LCSW
• Roujih Tadros, NP
• May Yee Tang, M.D.
• Meg Taylor, LCSW
• Nuttachai Thanaethanapong
• Three Branches Developmental Services LLC
• Thrifty Payless Inc (Rite Aid Pharmacy 05556)

• Nurse Practitioner in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.

Verify at the official NPI Registry.