Ken C. Tan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

12782 Issued in CA

Legal business name

KEN C. TAN, M.D.

Practice address

250 S Grand Ave
Glendora, CA 91741-4218

Phone

(626) 857-3140

NPI assigned

Dec 8, 2006

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Ryono

Title

Office Manager

Phone

(626) 964-6352

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1982764361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4007",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917650007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414218",
            "telephone_number": "626-857-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN C. TAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "RYONO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-964-6352"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "12782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A319380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lina Kassar
• Naim S Kassar, M.D.
• Raeda Kassar, DDS
• Samuel Kassar, MD
• Keke Zheng & Company Anesthesia, a Professional Corporation
• Debra Sue Key, FNP, PHN, RN
• Tanyia Khadem, MA. CCC-SLP
• Waseem Ekram Sedhom Khalil, RPH
• Ayesha Khan Hawkins, M.S.P.T.
• Naveed Abas Khan, MD

• Anesthesiology Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.