Individual provider Active NPI

Belinda H Tan, MD

  • Dermatopathology (Pathology) Physician
  • Torrance, CA
National Provider Identifier
1861690299
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
A100913 Issued in CA
Practice address
3870 Del Amo Blvd
Unit 507
Torrance, CA 90503-2165
Phone
(310) 222-6510
Fax
(310) 222-1847
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatopathology Physician 207ND0900X A100913 CA
Dermatopathology (Pathology) Physician 207ZD0900X A100913 CA Primary

Addresses

Primary practice location

3870 Del Amo Blvd
Unit 507
Torrance, CA 90503-2165

Mailing address

3870 Del Amo Blvd
Unit 507
Torrance, CA 90503-2165
Phone (310) 222-6510

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000243 CA Practitioner - PathologyPractitioner - Dermatology 0143407148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 25, 2021 Accepting new patients
Direct Dermatology Professionals PC CurrentSince Dec 14, 2016 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
County of Los Angeles CurrentSince Jun 16, 2014 Accepting new patients
Paul K. Shitabata, M.D., Inc CurrentSince Apr 28, 2014 Accepting new patients
County of Los Angeles CurrentSince Jun 16, 2014 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 25, 2021 Accepting new patients
Good Derm, Inc CurrentSince Jul 12, 2020 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

165 Saint Dominics Dr
Ste 120
Manteca, CA 95337
Phone (209) 823-0000

530 Lytton Ave
Fl 2
Palo Alto, CA 94301
Phone (415) 663-5584

8100 Timberlake Way
Ste F
Sacramento, CA 95823
Phone (916) 689-4889

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

3870 Del Amo Blvd
Ste 507
Torrance, CA 90503
Phone (310) 222-6510

3640 Lomita Blvd
Ste 301
Torrance, CA 90505
Phone (310) 405-0693

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD

Organizations & group practices 9

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1861690299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 DEL AMO BLVD",
            "address_2": "UNIT 507",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032165",
            "telephone_number": "310-222-6510",
            "fax_number": "310-222-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 DEL AMO BLVD",
            "address_2": "UNIT 507",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032165",
            "telephone_number": "310-222-6510",
            "fax_number": "310-222-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "BELINDA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A100913",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A100913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.