Individual provider Active NPI

Maria Jesusa Buan Tan, FNP

  • Family Nurse Practitioner
  • Chatsworth, CA
National Provider Identifier
1770098527
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007997 Issued in CA
Practice address
9301 Oakdale Ave Ste 200
Chatsworth, CA 91311-6538
Phone
(818) 205-0900
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 725854 CA
Family Nurse Practitioner 363LF0000X 95007997 CA Primary

Addresses

Primary practice location

9301 Oakdale Ave Ste 200
Chatsworth, CA 91311-6538

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

43830 10th St W
Lancaster, CA 93534-4826
Phone (661) 494-8600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180329002098 CA Practitioner - Nurse Practitioner 3870855935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Multicare Group IncGroup PAC ID 5294033734, 26 clinicians
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

2639 W Ave
K4
Lancaster, CA 93536-5369
Phone (661) 526-0110

3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone (310) 214-0811

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
725854CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 8, 2021 Accepting new patients
Horizon Multicare Group Inc CurrentSince Jan 16, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 8, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9301 Oakdale Ave
Ste 200
Chatsworth, CA 91311
Phone (818) 205-0900

44567 15th St W
Lancaster, CA 93534
Phone (661) 661-5524

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44445 15th St W
Lancaster, CA 93534
Phone (661) 948-7501

43830 10th St W
Lancaster, CA 93534
Phone (661) 494-8600

1642 W Avenue J
Lancaster, CA 93534
Phone (661) 942-8463

19197 Golden Valley Rd
Santa Clarita, CA 91387
Phone (800) 820-7813

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Interoperability endpoints

  • Direct secure messaging: mtan203306@westdirect.optum.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1770098527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 OAKDALE AVE STE 200",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116538",
            "telephone_number": "818-205-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43830 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344826",
            "country_code": "US",
            "telephone_number": "661-494-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "MARIA JESUSA",
        "middle_name": "BUAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "725854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.