Anna Maria M Tan (NPI# 1154741858, PAC ID# 5698040806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1154741858 |
| PAC ID by PECOS | 5698040806 |
| Professional Enrollment ID | I20171013000329 |
| Full Name | Anna Maria M Tan |
| Organization Legal Name | EMANATE HEALTH MEDICAL GROUP |
| Address |
14375 Pipeline Ave Chino CA 91710-5642 |
| Phone Number | 6269186544 |
| Gender | F |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4981986866 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050382 | CITRUS VALLEY MEDICAL CENTER-IC CAMPUS |
| 050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14375 Pipeline Ave, Chino, CA 91710-5642 | 6269186544 | EMANATE HEALTH MEDICAL GROUP |
| 440 W Foothill Blvd, Glendora, CA 91741-3361 | 6269639402 | EMANATE HEALTH MEDICAL GROUP |
| 1135 S Sunset Ave, Suite 200, West Covina, CA 91790-3937 | 6269186655 | EMANATE HEALTH MEDICAL GROUP |
| Organization Legal Name | EMANATE HEALTH MEDICAL GROUP |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason S Begley | Obstetrics/gynecology | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Carol S Wolcott | Physician Assistant | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Alyssa Peluffo | Physical Therapy | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Ankur Dilip Patel | Orthopedic Surgery | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Ruby R Gonzalez | Family Medicine | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Frank J Glavan | Family Medicine | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Andrea J Douglas | Physician Assistant | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Glenda J Fuentes | Physical Therapy | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Arthur Escamillo | Obstetrics/gynecology | Emanate Health Medical Group | 440 W Foothill Blvd, Glendora, CA 91741-3361 |
| Gregory Vincent Gomez | Orthopedic Surgery | Emanate Health Medical Group | 315 N 3rd Ave, Suite 302, Covina, CA 91723-1916 |
| Street Address |
14375 PIPELINE AVE |
| City | CHINO |
| State | CA |
| Zip | 91710-5642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Peluffo | Physical Therapy | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Glenda J Fuentes | Physical Therapy | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Vic Arthur Osborne | Orthopedic Surgery | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Carlos Lugo | Orthopedic Surgery | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Thomas O. Bryan | Orthopedic Surgery | Emanate Health Medical Group | 14375 Pipeline Ave, Chino, CA 91710-5642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Chee Chan | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Suraj P Rasania | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Jessica S Chong | Podiatry | 13768 Roswell Ave, Suite 107, Chino, CA 91710-1401 | |
| Jose M Pavia | Family Medicine | 13768 Roswell Ave, Suite 101, Chino, CA 91710-1401 | |
| Robert Chong | Podiatry | 13768 Roswell Ave, Suite 107, Chino, CA 91710-1401 | |
| Labib Hashimi | Hematology/oncology | 13768 Roswell Ave, Suite 105, Chino, CA 91710-1401 | |
| Tuan A Hoang-xuan | Dermatology | 13768 Roswell Ave, Suite 102, Chino, CA 91710-1401 | |
| Hammad O Khan | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Roselyn M Dinsay | Obstetrics/gynecology | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Farah A Ameeri | Family Medicine | 13768 Roswell Ave, Suite 115, Chino, CA 91710-1402 | |
| Find all physicians in zip 91710 | |||
| City | CHINO |
| Zip Code | 91710 |
| Specialty | PODIATRY |
| City + Specialty | CHINO + PODIATRY |
Please comment or provide details below to improve the information on Anna Maria M Tan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.