Michael P Tan, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

20-A-6875 Issued in CA

Practice address

1200 S Atlantic Blvd
Suite #128
Alhambra, CA 91803-2408

Phone

(626) 308-3981

Fax

(626) 308-7422

NPI assigned

Jun 28, 2006

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

NeurologyAlso: Osteopathic Manipulative Medicine

Education

College of Osteo Med of the Pacific at Pomona, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
• Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
• Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dr Michael P Tan D O Inc

  dba Advanced Neurology Group

  • Neurology Physician
  • Alhambra, CA
  • NPI 1861617078
  Medicare reassignment NPD Authorized official
• Global Physicians Resources Inc

  dba Stat Dox

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1972044469
  Medicare reassignment NPD

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

• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  Care Compare affiliation
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabreil Valley Medical Center, LP

  • General Acute Care Hospital
  • San Gabriel, CA
  • NPI 1275720377
  Care Compare affiliation
• Alhambra Hospital Medical Center, LP

  • General Acute Care Hospital
  • Alhambra, CA
  • NPI 1770612756
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1760419204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S ATLANTIC BLVD",
            "address_2": "SUITE #128",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032408",
            "telephone_number": "626-308-3981",
            "fax_number": "626-308-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S ATLANTIC BLVD",
            "address_2": "SUITE #128",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032408",
            "telephone_number": "626-308-3981",
            "fax_number": "626-308-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20-A-6875",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20-A-6875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00AX68750",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mptan8@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 S Atlantic Blvd Ste 128",
            "city": "Alhambra",
            "state": "CA",
            "country_code": "US",
            "postal_code": "918035406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin C. Tam, M.D
• Rania Khamis Tamimi, M.D.
• Eu Nee Tan-Verdugo
• Isabella Maria Camello Tan
• Mary Grace Tan, D.P.T.
• Pei Shan Tan, FNP
• Richard Saavedra Tan
• Tracy Tang-Casey
• Jen Lan Tang, LMFT
• Jeniffer Tang

• Neurology Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.