Antonio A. Tan, MD, Professional Corporation
NPI 1003870676 · Clinic/Center · Moreno Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Antonio A. Tan, MD, Professional Corporation is a Clinic/Center organization in Moreno Valley, CA (NPI 1003870676).
Provider details
- NPI number
- 1003870676
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rhoda Tan, Manager / Secretary of P.C.(951) 485-2744
- License
- A45416 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Antonio A. Tan, MD, Professional Corporation's NPI number?
- Antonio A. Tan, MD, Professional Corporation's National Provider Identifier (NPI) is 1003870676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antonio A. Tan, MD, Professional Corporation?
- Antonio A. Tan, MD, Professional Corporation is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Antonio A. Tan, MD, Professional Corporation located?
- Antonio A. Tan, MD, Professional Corporation's practice location on file with NPPES is 12980 Frederick St, Moreno Valley, CA 92553-5263.
- What is Antonio A. Tan, MD, Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Antonio A. Tan, MD, Professional Corporation is (951) 485-2744.
- Does Antonio A. Tan, MD, Professional Corporation accept Medicare?
- Antonio A. Tan, MD, Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Antonio A. Tan, MD, Professional Corporation?
- The authorized official listed on Antonio A. Tan, MD, Professional Corporation's NPPES record is Rhoda Tan, Manager / Secretary of P.C.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antonio A. Tan, MD, Professional Corporation's NPI active?
- Yes — Antonio A. Tan, MD, Professional Corporation's NPI (1003870676) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.