KC TAN, M.D. MEDICAL CORPORATION (NPI# 1215394036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215394036 |
| Entity Type | Organization |
| Organization Name | KC TAN, M.D. MEDICAL CORPORATION |
| Practice Address |
300 W Huntington Dr Arcadia CA 91007-3402 |
| Mailing Address |
223 N 1st Ave Suite #201 Arcadia CA 91006-7027 |
| Practice Telephone | 6268988610 |
| Mailing Telephone | 6268211411 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | DR. KOK CHYE TAN (PRESIDENT) |
| Authorized Official Telephone | 2053838965 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A120081 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A120081 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
A120081 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 W HUNTINGTON DR |
| City | ARCADIA |
| State | CA |
| Zip Code | 91007-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851288 | Methodist Hospital of Southern California | General Acute Care Hospital | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2005-09-19 |
| 1528675873 | Tyler Chin | Physical Therapist | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2020-09-29 |
| 1750944658 | Michelle Nava | Physical Therapist | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2019-04-16 |
| 1528522257 | Jeffery Chan | Occupational Therapist | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2019-01-28 |
| 1093204505 | Amy Luu | Occupational Therapist | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2018-05-09 |
| 1386146777 | Sergio Gonzalez | Pharmacist | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2018-03-02 |
| 1407356355 | Shuyue Zhou | Physical Therapist | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2018-02-16 |
| 1154835189 | Emily Rebecca Larson-mcquaid | Physician Assistant | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2017-11-29 |
| 1538685334 | Katherine Agron | Emergency Medicine | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2017-08-14 |
| 1669908265 | Megan Solomon Gau | Obstetrics & Gynecology | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2017-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174504 | Ying Zhang | Nurse Practitioner | 301 Huntington Dr., Suite 607, Arcadia, CA 91007 | 2018-11-26 |
| 1891287819 | Sunflower Tcm Health Center | Acupuncturist | 650 Weat Duarte Road, # 168, Arcadia, CA 91007 | 2018-06-05 |
| 1326537911 | Natural Health Care Inc | Clinic/Center | 1434 S Baldwin Ave, Arcadia, CA 91007 | 2018-05-09 |
| 1720590458 | Shokoofeh Namiranian | Pharmacist | 745 E. Naomi Ave, Arcadia, CA 91007 | 2017-11-03 |
| 1164897351 | The One Dental Specialty Center Inc | Dentist | 1245 W. Huntington Drive, #207, Arcadia, CA 91007 | 2015-12-14 |
| 1366815771 | Jackie Liang Zhang Sr. | Acupuncturist | 650 West Duarte Road, # 168, Arcadia, CA 91007 | 2015-11-06 |
| 1811379365 | Michael Bastani | Podiatrist | 289 W Huntington Dr Ste 204, Arcadia, CA 91007 | 2015-06-22 |
| 1740661776 | Albert Tsuyuan Wang | Emergency Medicine | 531 Magellan Rd, Arcadia, CA 91007 | 2015-06-16 |
| 1740678176 | Karina Herrera | Behavioral Analyst | 444 W. Huntington Dr., #211, Arcadia, CA 91007 | 2015-01-08 |
| 1356751614 | H-light Global Inc | Acupuncturist | 1245 W Huntington Dr #212, Arcadia, CA 91007 | 2014-05-07 |
| Find all providers in zip 91007 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891974283 | Kok Chye Tan | Radiology | 300 W Huntington Dr, Arcadia, CA 91007-3402 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821207 | Peyman Kangavari | Radiology | 8700 Beverly Blvd # M335, West Hollywood, CA 90048-1804 | 2014-04-15 |
| 1871914457 | Syrone Liu | Radiology | 1000 W. Carson St., Box 27, Torrance, CA 90509 | 2013-12-26 |
| 1629411061 | Arian Mashhood | Radiology | 3801 Miranda Ave Bldg 102, Palo Alto, CA 94304-1207 | 2013-04-16 |
| 1790049773 | Maximilian Yue Cho | Radiology | 110 W Las Tunas Dr Ste A, San Gabriel, CA 91776-1346 | 2012-06-25 |
| 1356604797 | Fan Yang | Radiology | 505 Parnassus Ave Rm L-371, San Francisco, CA 94143-2204 | 2012-06-20 |
| 1851653513 | Cynthia Marie Chan | Radiology | 300 Pasteur Dr Rm Stanford, Stanford, CA 94305-2200 | 2012-06-08 |
| 1346509197 | Ashkon Senaati | Radiology | 1801 W Romneya Dr Ste 104, Anaheim, CA 92801-1824 | 2012-05-15 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1497059976 | Kenneth W Albertson | Radiology | 845 Armada Ter, San Diego, CA 92106-3055 | 2010-12-27 |
| 1124331095 | Alireza Sedaghat Namini | Radiology | 27401 Los Altos Ste 180, Mission Viejo, CA 92691-8012 | 2010-07-21 |
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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.