Active NPI
Cynthia Tan
- Diagnostic Radiology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 125.054569
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- El Camino Health
- Sutter Delta Medical Center
- Sutter Solano Medical Center
- Good Samaritan Hospital
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.054569 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba Solano Diagnostics Imaging
- Diagnostic Radiology Physician
- Fairfield, CA
- NPI 1811940661
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1235184110
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1487040770
-
dba UCSF SFGH Medical Group Dept of Radiology
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
-
dba Valley Health Center Morgan Hill
- Clinic/Center
- Morgan Hill, CA
- NPI 1114676251
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
dba Sutter Delta Medical Center
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
-
dba Sutter Solano Medical Center
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.