Active NPI
Maria Jesusa Buan Tan, FNP
- Family Nurse Practitioner
- Chatsworth, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 725854 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Horizon Multicare Group Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | 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
- 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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Internal Medicine Physician
- Lancaster, CA
- NPI 1598130569
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.
- 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.