Individual provider · Type 1 NPI

Jonah O. Tan, M.P.T., P.A.-C

Physician Assistant · Simi Valley, CA

NPI number 1477569010 Active

Practice location

3200 E Los Angeles Ave, Suite 20
Simi Valley, CA 93065-3972

Call (805) 581-4266 Map

Fax (805) 581-5049

Mailing address

1687 Erringer Rd, Ste 109
Simi Valley, CA 93065-6508

Specialties and licenses

Taxonomy	Code	License
Orthopedic Physical Therapist	2251X0800X	PT24912 (CA)
Physician Assistant Primary	363A00000X	PA16970 (CA)

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 1477569010

Jonah O. Tan, M.P.T., P.A.-C's National Provider Identifier is 1477569010, issued on Aug 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Simi Valley, CA. The record was last updated on Jun 24, 2026.