IndividualActive
Jacob Tan
NPI 1588452197 · Behavior Technician · Rancho Cucamonga, CA
Jacob Tan is a Behavior Technician provider in Rancho Cucamonga, CA (NPI 1588452197).
Provider details
- NPI number
- 1588452197
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 25-431182 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
9600 Center Ave Ste 160
Rancho Cucamonga, CA 91730-5838
Phone: (858) 264-5858
Fax: (858) 649-6012
Street-level locationGet directions
Mailing address
733 W Linden St Apt A6610
Riverside, CA 92507-3956
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Frequently asked questions
- What is Jacob Tan's NPI number?
- Jacob Tan's National Provider Identifier (NPI) is 1588452197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Tan's specialty?
- Jacob Tan is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacob Tan located?
- Jacob Tan's practice location on file with NPPES is 9600 Center Ave Ste 160, Rancho Cucamonga, CA 91730-5838.
- What is Jacob Tan's phone number?
- The practice phone number listed in the NPPES registry for Jacob Tan is (858) 264-5858.
- Is Jacob Tan's NPI active?
- Yes — Jacob Tan's NPI (1588452197) is active in the NPPES registry as of the last update on 2025-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.