Individual provider Active NPI

Cynthia Tan

  • Diagnostic Radiology Physician
  • Maywood, IL
National Provider Identifier
1982846135
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125.054569 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-1084
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125.054569 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328

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
I20140627000919 CA Practitioner - Diagnostic Radiology 7810112257 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

1002 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 646-4646

101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1020 Nut Tree Rd
Suite 150
Vacaville, CA 95687-4100
Phone (559) 455-4065

1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646

1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5000

1320 Travis Blvd
Suite C
Fairfield, CA 94533-4654
Phone (707) 646-4000

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.054569ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Apr 9, 2018 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 15, 2014 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Northbay Healthcare Group CurrentSince Jan 28, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Northbay Healthcare Group Current Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jun 15, 2014 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Jun 18, 2019 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
St. Helena Hospital Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1002 Nut Tree Rd
Vacaville, CA 95687

1020 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 624-8066

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: ctan201123@santaclaravalley.direct-ci.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1982846135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.054569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.