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

Ashley Jeanine Tan, MD

Individual provider Family Medicine Physician · NPI 1053041509

Ashley Jeanine Tan, MD is a Family Medicine Physician in Moreno Valley, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12980 Frederick St Ste D
Moreno Valley, CA 92553-5263
Phone: (951) 486-2744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 N Pepper Ave, Colton, CA 92324-1819 — (909) 580-1000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A200185 (CA)

Record details

NPI number1053041509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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