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

Gavin Tang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407653009

Gavin Tang is a Physician Assistant in Reston, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone: (703) 689-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407653009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address5220 Foxon Rd, Virginia Beach, VA 23464

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Reston