Ying-Kan Tien, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A33940 Issued in CA

Practice address

2701 South Bristol St
Santa Ana, CA 92704

Phone

(714) 754-5590

Fax

(714) 850-4933

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Matt Tien Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1831271055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460788",
            "telephone_number": "714-636-0343",
            "fax_number": "714-636-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SOUTH BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-754-5590",
            "fax_number": "714-850-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "YING-KAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A33940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "TIEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard Tian, BEHAVIOR TECHNICIAN
• Joshua Christopher Broas Tibayan
• Janice Mascarinas Tibbetts
• Alexa Rae Tickenoff
• Alison Rae Tickenoff, LVN
• Nicole Phuong-Ngan Tieu, ASW
• Sigifredo Tijerina Jr.
• Megan L Tillman, MFT
• Tiffany Tillman
• Time Surgical Facility

• Anesthesiology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.