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

Dr. Mark Tan, MD

Individual provider Plastic Surgery Physician · NPI 1578658266

Dr. Mark Tan, MD is a Plastic and Reconstructive Surgery in South Pasadena, California. Graduated from Northwestern University Feinberg Medical School in 1994, 32 years ago. Practices with University of Chicago, a 1,681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Northwestern University Feinberg Medical School
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone: (626) 396-2900
Show map & directions

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

Additional practice locations (2)

  • 301 W Huntington Dr Ste 400, Arcadia, CA 91007-3471 — (626) 218-9840
  • 1500 E. Duarte Rd., Duarte, CA 91010 — (626) 359-8111

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence A94624 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence A94624 (CA)

Record details

NPI number1578658266
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing addressPo Box 512185, Los Angeles, CA 90051-0185

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare