Gordon Tan, M.D.
NPI 1659662583 · Pediatrics Physician · Moreno Valley, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordon Tan, M.D. is a Pediatrics Physician provider in Moreno Valley, CA (NPI 1659662583).
Provider details
- NPI number
- 1659662583
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A122192 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-04-26
- Last updated
- 2024-11-30
- Certified
- 2024-11-30
Frequently asked questions
- What is Gordon Tan's NPI number?
- Gordon Tan's National Provider Identifier (NPI) is 1659662583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Tan's specialty?
- Gordon Tan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Gordon Tan located?
- Gordon Tan's practice location on file with NPPES is 12815 Heacock St, Moreno Valley, CA 92553-2836.
- What is Gordon Tan's phone number?
- The practice phone number listed in the NPPES registry for Gordon Tan is (951) 601-6399.
- Does Gordon Tan accept Medicare?
- Gordon Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gordon Tan's NPI active?
- Yes — Gordon Tan's NPI (1659662583) is active in the NPPES registry as of the last update on 2024-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.