Kenneth Tan, M.D.
NPI 1780631788 · Neonatal-Perinatal Medicine Physician · San Jose, CA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Tan, M.D. is a Neonatal-Perinatal Medicine Physician provider in San Jose, CA (NPI 1780631788).
Provider details
- NPI number
- 1780631788
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G60594 (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
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
- 2006-05-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Tan's NPI number?
- Kenneth Tan's National Provider Identifier (NPI) is 1780631788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Tan's specialty?
- Kenneth Tan is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Tan located?
- Kenneth Tan's practice location on file with NPPES is 3880 S. Bascom Avenue, San Jose, CA 95124-2675.
- What is Kenneth Tan's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Tan is (408) 377-8100.
- Does Kenneth Tan accept Medicare?
- Kenneth Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Tan's NPI active?
- Yes — Kenneth Tan's NPI (1780631788) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.