NPIMap

Individual provider Active NPI

Hau Hien Tan, M.D.

  • Internal Medicine Physician
  • La Mesa, CA
National Provider Identifier
1912907726
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63428 Issued in CA
Practice address
7871 University Ave
Suite B
La Mesa, CA 91942-0471
Phone
(619) 287-8270
Fax
(619) 287-8272
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63428 CA Primary

Addresses

Primary practice location

7871 University Ave
Suite B
La Mesa, CA 91942-0471

Mailing address

7871 University Ave
Suite B
La Mesa, CA 91942-0471
Phone (619) 287-8270

Other identifiers 1

IdentifierTypeStateIssuer
00A634280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000248 CA Practitioner - Internal Medicine 5597703892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Home of California-Chula VistaGroup PAC ID 9133187941, 5 clinicians

Practice addresses (Care Compare)

700 E Naples CT
Chula Vista, CA 91911-6821
Phone (619) 482-6037

7871 University Ave
Suite B
La Mesa, CA 91942-0471
Phone (619) 287-8270

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63428CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hau H. Tan, M.D., Inc Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Veterans Home of California - Chula Vista CurrentSince Aug 1, 2015 Accepting new patients
Glenn a. Miller, D.P.M.,P.C. Past Accepting new patients

Locations

2120 Alpine Blvd
Alpine, CA 91901
Phone (619) 445-2644

700 E Naples Ct
Chula Vista, CA 91911
Phone (619) 482-6020

7871 University Ave
Ste B
La Mesa, CA 91942
Phone (619) 287-8270

1227 O St
Rm 402
Sacramento, CA 95814

4533 College Ave
San Diego, CA 92115
Phone (619) 286-3355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1912907726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7871 UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420471",
            "telephone_number": "619-287-8270",
            "fax_number": "619-287-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7871 UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420471",
            "telephone_number": "619-287-8270",
            "fax_number": "619-287-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "HAU",
        "middle_name": "HIEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A634280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.