| Mr Benjo Tan, | |
|
520 N Main St Ste 220, Santa Ana, CA 92701-4623 | |
| (714) 543-5609 | |
| Not Available |
| Full Name | Mr Benjo Tan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 520 N Main St Ste 220, Santa Ana, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841966249 | NPI | - | NPPES |
| 95017880 | Other | CA | NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95017880 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| La Palma Intercommunity Hospital | La palma, CA | Hospital |
| Chapman Global Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Community Health Center | 7810394756 | 27 |
| Entity Name | New Foundation Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689023582 PECOS PAC ID: 3072893478 Enrollment ID: O20161130001798 |
| Entity Name | New Day Recovery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376559625 PECOS PAC ID: 9638502685 Enrollment ID: O20191204002380 |
| Entity Name | Karma Doctors & Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205450418 PECOS PAC ID: 0143640292 Enrollment ID: O20201012001888 |
| Entity Name | Access Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184234726 PECOS PAC ID: 7810394756 Enrollment ID: O20210921000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjo Tan, 382 N Lemon Ave # 401, Walnut, CA 91789-2344 Ph: (949) 394-7094 | Mr Benjo Tan, 520 N Main St Ste 220, Santa Ana, CA 92701-4623 Ph: (714) 543-5609 |
Mr. Gerardo M De Jesus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Flower St, Santa Ana, CA 92703 Phone: 714-647-4170 | |
Miss Sonia Sedano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 N Main St, Santa Ana, CA 92701 Phone: 888-499-9303 | |
Dr. Vivianmary Udoka Osunwoke, DNP/FNP, MHA, BSN,RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2414 S Fairview St, Santa Ana, CA 92704 Phone: 714-641-0121 | |
Anh Huynh Phan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1406 W 10th St, Santa Ana, CA 92703 Phone: 714-854-4173 | |
Melissa A Medellin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Fairview St, Santa Ana, CA 92703 Phone: 714-835-8501 | |
Marlowe Klein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 N Main St, Santa Ana, CA 92701 Phone: 714-647-0401 | |
Elizabeth Branson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 E 1st St # 100, Santa Ana, CA 92705 Phone: 909-800-3532 |