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

Jessica Tan

Individual provider Physician Assistant · NPI 1598327967

Jessica Tan is a Physician Assistant in Fountain Valley, California. Qualified in 2021, 5 years ago. Practices with Regents of the University of California, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

11180 Warner Ave Ste 167
Fountain Valley, CA 92708-7515
Phone: (714) 241-8552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 60642 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1598327967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2019
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Regents Of The University Of California — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fountain Valley