What is Maverick Tan's NPI number?

Maverick Tan's National Provider Identifier (NPI) is 1922785492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Maverick Tan's specialty?

Maverick Tan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Maverick Tan located?

Maverick Tan's practice location on file with NPPES is 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615.

What is Maverick Tan's phone number?

The practice phone number listed in the NPPES registry for Maverick Tan is (714) 992-7808.

Is Maverick Tan's NPI active?

Yes — Maverick Tan's NPI (1922785492) is active in the NPPES registry as of the last update on 2023-06-28.

IndividualActive

Maverick Tan

NPI 1922785492 · Physician Assistant · Fullerton, CA

Maverick Tan is a Physician Assistant provider in Fullerton, CA (NPI 1922785492).

Provider details

NPI number: 1922785492
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% 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

2575 Yorba Linda Blvd

Fullerton, CA 92831-1615

Phone: (714) 992-7808

Approximate (ZIP-level) locationGet directions

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Mailing address