Individual provider · Type 1 NPI

Kingsley Tan, PA-C

Physician Assistant · San Diego, CA

NPI number 1477032621 Active

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Fax (888) 539-8781

Mailing address

File 57326
Los Angeles, CA 90074-0001

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477032621

Kingsley Tan, PA-C's National Provider Identifier is 1477032621, issued on Aug 8, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 10, 2025.