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

Nelly Tan, MD

Individual provider Radiation Oncology Physician · NPI 1871756254

Nelly Tan, MD is a Radiation Oncology in Los Angeles, California. Graduated from University of California, Geffen School of Medicine in 2008, 18 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, California and Florida.

Years since qualifying
18
Trained at
University of California, Geffen School of Medicine
Licensed in
AZ, CA, FL
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

757 Westood Plz Rrumc 1621; Mailcode: 743730
Los Angeles, CA 90095-8358
Phone: (310) 957-9021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 — (480) 342-1800
  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 — (904) 953-2000

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 60018 (AZ)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence ME148615 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A114724 (CA)

Record details

NPI number1871756254
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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