Dr Michael P Tan D O Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DR MICHAEL P TAN D O INC

Doing business as

Advanced Neurology Group

Practice address

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

Phone

(626) 308-3981

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

Michael P Tan, D.O.NPI 1760419204

Title

President

Phone

(626) 308-3981

Specialties & licenses 1

Addresses

Other names 1

• Advanced Neurology Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael P Tan, D.O.

  • Neurology Physician
  • Alhambra, CA
  • NPI 1760419204
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1861617078",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL P TAN D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-308-3981",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neurology Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Neurology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.