Individual provider Active NPI

Eleonor Tan Quan, M.D.

  • Hematology & Oncology Physician
  • Huntington Beach, CA
National Provider Identifier
1770502254
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A53257 Issued in CA
Practice address
19582 Beach Blvd
#212
Huntington Beach, CA 92648-2996
Phone
(714) 252-9415
Fax
(714) 963-8407
NPI assigned
Jul 18, 2006
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 19307 ND
Hematology & Oncology Physician 207RH0003X A53257 CA Primary

Addresses

Primary practice location

19582 Beach Blvd
#212
Huntington Beach, CA 92648-2996

Mailing address

1043 Elm Ave
Ste 104
Long Beach, CA 90813-3244
Phone (562) 590-0345

Other practice location 1

831 S Broadway
Minot, ND 58701-4636
Phone (701) 857-3534

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Other identifiers 1

IdentifierTypeStateIssuer
00A532570MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040417000625 CA Practitioner - HematologyPractitioner - Medical Oncology 9739174814 Reassigns benefits to 1 organization
I20220204001819 MT Practitioner - Hematology/OncologyPractitioner - Medical Oncology 9739174814 Reassigns benefits to 3 organizations
I20230512000441 SD Practitioner - Hematology/Oncology 9739174814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111

2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone (605) 626-4200

701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53257CAMDGeneral Practice Dentistry
A53257CAMDHematology & Oncology Physician
19307NDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jul 1, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince May 1, 2023 Accepting new patients
St. Peter's Health CurrentSince May 23, 2022 Accepting new patients
St Peter's Health Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jul 1, 2022 Accepting new patients
St Peter's Medical Group North CurrentSince May 23, 2022 Accepting new patients
Sanford Health Network CurrentSince May 1, 2023 Accepting new patients
Pacific Shores Medical Group, Inc Hematology & Oncology CurrentSince Jun 22, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Benefis Hospitals Inc CurrentSince Jan 31, 2022 Accepting new patients
Pacific Shores Medical Group, Inc. Hematology & Oncology CurrentSince Jun 22, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Sanford Health Network Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
St. Peter's Health Past Accepting new patients
City of Hope Medical Foundation Hematology & Oncology PastSince Aug 8, 2021 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

222 W Eulalia St
Ste 100B
Glendale, CA 91204
Phone (562) 430-5900

19582 Beach Blvd
Ste 212
Huntington Beach, CA 92648
Phone (714) 252-9415

16300 Sand Canyon Ave
Ste 207
Irvine, CA 92618
Phone (714) 252-9415

1043 Elm Ave
Ste 104
Long Beach, CA 90813
Phone (562) 495-6118

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3130
Bozeman, MT 59715
Phone (406) 414-5070

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: elq104pcs694@primeclinicalsystems.direct-ci.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1770502254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133244",
            "telephone_number": "562-590-0345",
            "fax_number": "562-437-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "#212",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482996",
            "telephone_number": "714-252-9415",
            "fax_number": "714-963-8407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014636",
            "country_code": "US",
            "telephone_number": "701-857-3534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAN",
        "first_name": "ELEONOR",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ND",
            "license": "19307",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A53257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A532570",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.