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

Nicholas Tan, DO

Individual provider Pediatrics Physician · NPI 1114424777

Nicholas Tan, DO is a Pediatrics Physician in Orange, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (715) 583-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A21378 (CA)

Record details

NPI number1114424777
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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