Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angie-Kolleen Sandico Tan, FNP

Individual provider Family Nurse Practitioner · NPI 1063961324

Angie-Kolleen Sandico Tan, FNP is a Nurse Practitioner in Pacoima, California. Qualified in 2016, 10 years ago. Practices with Karpus Medical Group Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

9606 Cherry Hill St
Pacoima, CA 91331-1514
Phone: (323) 620-7412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95006893 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 775609 (CA)

Record details

NPI number1063961324
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 28, 2016
Last updated in NPPESOctober 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Karpus Medical Group Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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