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

Jeffrey P Tan, MD

Individual provider Family Medicine Physician · NPI 1407059751

Jeffrey P Tan, MD is a Family Practice in Porterville, California. Qualified in 2002, 24 years ago. Practices with State of California - Department of Developmental Services, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
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

26501 Avenue 140
Porterville, CA 93257-9109
Phone: (559) 782-2280
Fax: (559) 782-2073
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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 A98579 (CA)

Record details

NPI number1407059751
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address26501 Avenue 140, Porterville, CA 93257-9109

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice State Of California - Department Of Developmental Services — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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