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

Kingsley Tan, PA-C

Individual provider Physician Assistant · NPI 1477032621

Kingsley Tan, PA-C is a Physician Assistant in San Diego, California. Qualified in 2018, 8 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 8 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 4829 Fortin St, Baldwin Park, CA 91706-1957 — (626) 290-7539
  • 1415 Ross Ave, El Centro, CA 92243-4306 — (800) 926-8273
  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 9400 Campus Point Dr, La Jolla, CA 92093-1350 — (800) 926-8273
  • 330 Lewis St, San Diego, CA 92103-2108 — (800) 926-8273
  • 4250 1st Ave, San Diego, CA 92103 — (800) 926-8273
  • 6655 Alvarado Rd, San Diego, CA 92120-5208 — (800) 926-8273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1477032621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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