Ashley Jeanine Tan, MD is a
Student In An Organized Health Care Education/training Program physician based in Colton, California. Ashley Jeanine Tan is licensed to practice in * (Not Available) (license number ) and her current practice location is 400 N Pepper Ave, Colton, California. She can be reached at her office (for appointments etc.) via phone at
(909) 580-1000.
NPI number for Ashley Jeanine Tan is 1053041509 and her current mailing address is 400 N Pepper Ave, Colton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053041509.
Physician's Profile
| Full Name | Ashley Jeanine Tan |
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| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 400 N Pepper Ave, Colton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053041509
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 02/06/2026
Medical Identifiers
Medical identifiers for Ashley Jeanine Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053041509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | A200185 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Jeanine Tan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ashley Jeanine Tan, MD 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-1000 | Ashley Jeanine Tan, MD 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-1000 |
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