Matthew S C Tan (NPI# 1295758126, PAC ID# 6406894823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1295758126 |
| PAC ID by PECOS | 6406894823 |
| Professional Enrollment ID | I20110125000986 |
| Full Name | Matthew S C Tan |
| Organization Legal Name | SURGICAL MULTISPECIALTIES MEDICAL GROUP |
| Address |
1701 Cesar Chavez Ave Suite 300 Los Angeles CA 90033 |
| Phone Number | 3232642633 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9234166109 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1505 Wilson Terrace, Suite 330, Glendale, CA 91206-4072 | 8182426828 | SURGICAL MULTISPECIALTIES MEDICAL GROUP |
| 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 | 3232642633 | SURGICAL MULTISPECIALTIES MEDICAL GROUP |
| Organization Legal Name | SURGICAL MULTISPECIALTIES MEDICAL GROUP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Khan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ramsay Nucho | Thoracic Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| On Wang | General Surgery | Surgical Multispecialties Medical Group | 1505 Wilson Terrace, Suite 330, Glendale, CA 91206-4072 |
| George Kafrouni | Thoracic Surgery | Surgical Multispecialties Medical Group | 1505 Wilson Terrace, Suite 330, Glendale, CA 91206-4072 |
| Johanna V Basa | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Street Address |
1701 CESAR CHAVEZ AVE SUITE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Khan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| William Barba | Urology | Los Angeles Urology Medical Group | 1701 Cesar Chavez Ave, Suite 500, Los Angeles, CA 90033-2438 |
| Ramsay Nucho | Thoracic Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Miguel Acevedo Martinez | Urology | Los Angeles Urology Medical Group | 1701 Cesar Chavez Ave, Suite 500, Los Angeles, CA 90033-2438 |
| Johanna V Basa | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Leung | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Arpita Amin Devani | Internal Medicine | 1720 E Cesar Chavez Ave, Los Angeles, CA 90033 | |
| Azmy F Ghaly | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Marian A Fedak | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Ahmad Jabaiah | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Francisco Quijas | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Rene N Kohlieber | Family Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Soma Barua | Family Practice | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Noel Chavez | Physician Assistant | Martin R Zapata Do Inc | 1700 E Cesar Chavez Ave, Los Angeles, CA 90033 |
| Andy E Sherrod | Pathology | Usc Care Medical Group Inc | 2011 Zonal Ave Hmr, Suite 308, Los Angeles, CA 90033-0110 |
| Find all physicians in zip 90033 | |||
| City | LOS ANGELES |
| Zip Code | 90033 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LOS ANGELES + GENERAL SURGERY |
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| 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.