MR. JONATHAN JOSEPH TAN (PA-C) – Physician Assistant, NPI 1285010322
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MR. JONATHAN JOSEPH TAN (PA-C)
1040 W IMPERIAL HWY STE D
LA HABRA, CA 906310608
Phone: (714) 451-1072
Fax: (714) 451-1078
Type: Location
2707 E Valley Blvd
West Covina, CA 917923195
Phone: (626) 243-7134
Type: Location
5424 Woodruff Ave
Lakewood, CA 907131533
Phone: (562) 452-0038
Type: Location
101 E Valencia Mesa Dr
Fullerton, CA 928353809
Phone: (714) 871-3280
Type: Location
8891 Central Ave
Montclair, CA 917631618
Phone: (909) 297-3361
Type: Location
20635 Yorba Linda Blvd
Yorba Linda, CA 928867133
Phone: (714) 581-9497
Type: Location
858 N Rose Dr
Placentia, CA 928707522
Phone: (714) 406-1810
Type: Location
751 S Weir Canyon Rd Ste 165
Anaheim, CA 928081962
Phone: (714) 453-0120
Type: Location
301 E JEANETTE LN UNIT 146
SANTA ANA, CA 927056027
Phone: (516) 244-6211
Type: Mailing
751 S WEIR CANYON RD STE 165
ANAHEIM, CA 928081962
Phone: (714) 453-0120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170605002519 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 67 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 39 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 24 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 90631)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Nurse Practitioner | FL | |
| - | CA | |
| Physician Assistant | AZ | |
| - | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA |
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