Kingsley Tan, PA-C
NPI 1477032621 · Physician Assistant · San Diego, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kingsley Tan, PA-C is a Physician Assistant provider in San Diego, CA (NPI 1477032621).
Provider details
- NPI number
- 1477032621
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
8 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,094 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (7)
- 4829 Fortin StBaldwin Park, CA 91706-1957Phone: (626) 290-7539
- 1415 Ross AveEl Centro, CA 92243-4306Phone: (800) 926-8273Fax: (888) 539-8781
- 9300 Campus Point DrLa Jolla, CA 92037-1300Phone: (800) 926-8273Fax: (888) 539-8781
- 9400 Campus Point DrLa Jolla, CA 92093-1350Phone: (800) 926-8273Fax: (888) 539-8781
- 6655 Alvarado RdSan Diego, CA 92120-5208Phone: (800) 926-8273Fax: (888) 539-8781
- 330 Lewis StSan Diego, CA 92103-2108Phone: (800) 926-8273Fax: (888) 539-8781
- 4250 1st AveSan Diego, CA 92103Phone: (800) 926-8273Fax: (888) 539-8781
Registry dates
- Enumerated
- 2018-08-08
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Kingsley Tan's NPI number?
- Kingsley Tan's National Provider Identifier (NPI) is 1477032621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kingsley Tan's specialty?
- Kingsley Tan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kingsley Tan located?
- Kingsley Tan's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Kingsley Tan's phone number?
- The practice phone number listed in the NPPES registry for Kingsley Tan is (800) 926-8273.
- Does Kingsley Tan accept Medicare?
- Kingsley Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kingsley Tan's NPI active?
- Yes — Kingsley Tan's NPI (1477032621) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.