Organization Active NPI

Hau H. Tan, M.D., Inc

  • Internal Medicine Physician
  • La Mesa, CA
National Provider Identifier
1750486999
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63428 Issued in CA
Legal business name
HAU H. TAN, M.D., INC
Practice address
7871 University Ave
Suite B
La Mesa, CA 91942-0471
Phone
(619) 287-8270
Fax
(619) 287-8272
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Hau Hien Tan, M.D.NPI 1912907726
Title
Physician/Owner
Phone
(619) 287-8270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A63428 CA Primary

Addresses

Primary practice location

7871 University Ave
Suite B
La Mesa, CA 91942-0471

Mailing address

7871 University Ave
Suite B
La Mesa, CA 91942-0471
Phone (619) 287-8270

Other identifiers 3

IdentifierTypeStateIssuer
00A634280MedicaidCA
W18642OtherCAMEDICARE GROUP ID
1912907726OtherCADR. TAN - NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418001184 CA Part B Supplier - Clinic/Group Practice 9335187632 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA

National Provider Directory

National Provider Directory

Locations

7871 University Ave
Ste B
La Mesa, CA 91942
Phone (619) 287-8270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1750486999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7871 UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420471",
            "telephone_number": "619-287-8270",
            "fax_number": "619-287-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7871 UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420471",
            "telephone_number": "619-287-8270",
            "fax_number": "619-287-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAU H. TAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "HAU",
        "authorized_official_middle_name": "HIEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "619-287-8270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A634280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W18642",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. TAN - NPI",
            "identifier": "1912907726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.