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

Mr. Benjo Tan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1841966249

Mr. Benjo Tan is a Nurse Practitioner in Santa Ana, California. Qualified in 2020, 6 years ago. Practices with Access Community Health Center, a 29-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

520 N Main St Ste 220
Santa Ana, CA 92701-4623
Phone: (714) 543-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 20705 Kelfield Dr, Diamond Bar, CA 91789 — (949) 394-7094
  • 16823 Arrow Blvd, Fontana, CA 92335-3803 — (949) 394-7094
  • 4000 Birch St Ste 112, Newport Beach, CA 92660-2255 — (949) 216-3851
  • 4000 Birch St Ste 112, Newport Beach, CA 92660-2255 — (949) 629-3730

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95017880 (CA)

Record details

NPI number1841966249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Access Community Health Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Santa Ana