| Jonah O Tan, MPT, PA-C | |
|
3200 E Los Angeles Ave, Suite 20, Simi Valley, CA 93065-3972 | |
| (805) 581-4266 | |
| (805) 581-5049 |
| Full Name | Jonah O Tan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 3200 E Los Angeles Ave, Simi Valley, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477569010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16970 (California) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | PT24912 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Woodland Hills | Woodland hills, CA | Hospital |
| Entity Name | Divine Health Provider Physical Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386899763 PECOS PAC ID: 6103980651 Enrollment ID: O20090127000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonah O Tan, MPT, PA-C 1687 Erringer Rd, Ste 109, Simi Valley, CA 93065-6508 Ph: (805) 581-4266 | Jonah O Tan, MPT, PA-C 3200 E Los Angeles Ave, Suite 20, Simi Valley, CA 93065-3972 Ph: (805) 581-4266 |
Smita Darshan Mehta, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2925 Sycamore Dr, Suite 204-205, Simi Valley, CA 93065 Phone: 805-578-9620 Fax: 805-955-0498 |
Tanner James Green, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6107 |
Linda Rubino, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4531 Alamo St, Simi Valley, CA 93063 Phone: 805-520-3248 |
Brenda Margaret Mcalpin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-582-4000 |
Aaron Highsmith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2515 Glenhurst Ct, Simi Valley, CA 93063 Phone: 805-750-8082 |
Mrs. Ingrid R Sharpe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1980 Sequoia Ave, Simi Valley, CA 93063 Phone: 805-583-5555 Fax: 805-583-5554 |
Elizabeth Klahr Eldakar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-582-4000 Fax: 805-579-6082 |