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

Matthew Tan

Individual provider Physician Assistant · NPI 1710475462

Matthew Tan is a Physician Assistant in Montebello, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

309 W Beverly Blvd
Montebello, CA 90640-4308
Phone: (323) 726-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1798 N Garey Ave, Pomona, CA 91767-2918 — (909) 865-9500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55620 (CA)

Record details

NPI number1710475462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2018
Last updated in NPPESNovember 22, 2021
Mailing address824 N 2nd St Apt 3, Alhambra, CA 91801-1370

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 Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Montebello