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

Jonah O. Tan, MPT, PA-C

Individual provider Orthopedic Physical Therapist · NPI 1477569010

Jonah O. Tan, MPT, PA-C is a Physical Therapist in Private Practice in Simi Valley, California. Qualified in 2003, 23 years ago. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3200 E Los Angeles Ave Ste 20
Simi Valley, CA 93065-3972
Phone: (805) 581-4266
Fax: (805) 581-5049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16970 (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT24912 (CA)

Record details

NPI number1477569010
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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