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

Dr. Antonio A. Tan, MD

Individual provider Internal Medicine Physician · NPI 1134277569

Dr. Antonio A. Tan, MD is an Internal Medicine in Moreno Valley, California. Qualified in 1975, 51 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
51
Licensed in
CA
In the registry since
2007
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) 485-2744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A45416 (CA)

Record details

NPI number1134277569
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moreno Valley