YONG TAN (NPI# 1083771489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083771489 |
| Entity Type | Individual |
| Full Name | YONG TAN |
| Credential | M.D. |
| Practice Address |
751 West Legion Road, Suite 102 Brawley CA 92227 |
| Mailing Address |
516 West Aten Road, Suite 2 Imperial CA 92251 |
| Practice Telephone | 7603518696 |
| Practice Fax Number | 7605450253 |
| Mailing Telephone | 7603557730 |
| Mailing Fax Number | 7603557731 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A55855 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A055855 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDIARE GROUP # | W13536B | 01 |
| CA | MEDI-CAL GROUP | GR0066310 | 01 |
| CA | MEDICARE GROUP # | W13536D | 01 |
| CA | MEDICARE GROUP | W13536A | 01 |
| CA | MEDICARE GROUP # | W13536C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891115325 | Yong Tan | Surgery | 2451 Fillingim St, Room 714, Mobile, AL 36617-2238 | 2014-04-23 |
| 1811236037 | Yong M Tan | Nurse Practitioner | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2013-02-07 |
| Street Address |
751 WEST LEGION ROAD, SUITE 102 |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1174619738 | Donald M Ehman | Specialist | 197 W Legion Rd # 300, Brawley, CA 92227 | 2006-10-04 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588608475 | Sunny R Richley | Family Medicine | 751 W Legion Rd Ste 103, Brawley, CA 92227 | 2006-06-15 |
| 1265967491 | El Cajon Medical Group Inc | Family Medicine | 751 W Legion Rd Ste 300, Brawley, CA 92227-7755 | 2017-04-25 |
| 1417398728 | Vijaykanth Mahendrakar | Family Medicine | 751 W Legion Rd Ste 103, Brawley, CA 92227-7754 | 2013-07-15 |
| 1689019200 | Anooshirvan Bozorgmehr | Family Medicine | 207 W Legion Rd, Brawley, CA 92227-7780 | 2013-05-09 |
| 1730408436 | Kevin Patrick Donnelly | Family Medicine | 1166 K St, Brawley, CA 92227-2737 | 2010-05-20 |
| 1215121355 | George C. Fareed, M.d. | Family Medicine | 751 W Legion Rd, Suite #105, Brawley, CA 92227-7732 | 2007-08-31 |
| 1902839343 | Daniel K Cham, Md, Inc | Family Medicine | 126 Main St, Brawley, CA 92227-2349 | 2006-07-09 |
| 1619935137 | Lorenzo H Suarez | Family Medicine | 125 South 5th Street, Brawley, CA 92227 | 2006-05-03 |
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| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.