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

Individual provider Family Medicine Physician · NPI 1417957697

Dr. Lorena H Tan, MD is a Family Practice in Livermore, California. Graduated from University of Southern California Keck School of Medicine in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
31
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2005
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

1133 E Stanley Blvd Ste 201
Livermore, CA 94550-4200
Phone: (925) 443-9000
Fax: (925) 443-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A61352 (CA)

Record details

NPI number1417957697
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 28, 2005
Last updated in NPPESNovember 15, 2016
Mailing address1133 E Stanley Blvd, Suite 201, Livermore, CA 94550-4200

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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