Elvis Akpene Tanson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7605 Issued in CA

Practice address

4873 West LN Ste a
Stockton, CA 95210-4548

Phone

(298) 472-1515

Fax

(209) 472-1651

NPI assigned

Jan 8, 2007

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

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlane Medical Clinic IncGroup PAC ID 4789651613, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Medical Center Home Health Home health agency, Stockton, CA, CCN 057212
• Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
• Lorian Health Home health agency, Elk Grove, CA, CCN 059322
• Careplus Home Health Care Services, Inc Home health agency, Livermore, CA, CCN 053178
• Sunbright Home Health Care Home health agency, Pleasanton, CA, CCN 559320
• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: etanson@wmc-ca.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Westlane Medical Clinic,Inc

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1689729352
  Medicare reassignment Care Compare group NPD

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

• Attaie Healthcare Inc.

  • Home Health Agency
  • Pleasanton, CA
  • NPI 1548807332
  Care Compare affiliation
• Careplus Home Health Care Services, Inc.

  • Home Health Agency
  • Livermore, CA
  • NPI 1114469913
  Care Compare affiliation
• Port City Operating Company, LLC

  • Home Health Agency
  • Stockton, CA
  • NPI 1306978945
  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation
• Prestige Home Health Services, Inc.

  • Home Health Agency
  • Elk Grove, CA
  • NPI 1891933081
  Care Compare affiliation
• Sky HHS LLC

  • Home Health Agency
  • Elk Grove, CA
  • NPI 1750892857
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1720136138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 LONNIE BECK WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094188",
            "telephone_number": "209-406-6474",
            "fax_number": "209-476-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 WEST LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104548",
            "telephone_number": "298-472-1515",
            "fax_number": "209-472-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSON",
        "first_name": "ELVIS",
        "middle_name": "AKPENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Tan, DO
• Serena Jiali Tan, MD
• Nidhi Taneja, DDS
• April Madison Tang
• Kealani Joie Tano
• Gabriel Kodzo Tanson, M.D.,
• Tanveer S. Bajwa, MD., Inc.
• Crystal Leann Tapia
• Edith Tapia
• Isabel Tapia

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.