Debra Im, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63753 Issued in CA

Practice address

2001 Santa Anita Ave
Suite 204
South El Monte, CA 91733-3442

Phone

(626) 443-3915

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debra Tan Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: debradds.tan@hchcla.eclinicaldirectplus.com

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.

• Delfin Tio DDS Inc.

  dba Durfee Dental Office

  • General Practice Dentistry
  • South El Monte, CA
  • NPI 1639229123
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1730597071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA ANITA AVE",
            "address_2": "SUITE 204",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA ANITA AVE",
            "address_2": "SUITE 204",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333442",
            "telephone_number": "626-443-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "TAN",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healing Mind and Soul Therapy
• Nicole Monica Hernandez, LMFT
• Bella Patel Ho, PHARMD
• Home Hemo Professional, LLC
• Hygeia LTC Corp. (Hygeia LTC Pharmacy)
• Intermedical Specialists
• Jairo Castro, D.D.S., Inc.
• Samantha Chelsea Jara
• Nicholas Jeffrey Douglas Jones, MS, AMFT
• Stella Kwon

• General Practice Dentistry in South El Monte, CA
• Providers in South El Monte, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.