Individual provider · Type 1 NPI

Michael Tan, RN, NP

Nurse Practitioner · Fontana, CA

NPI number 1992622344 Active

Practice location

17000 Upland Ave
Fontana, CA 92335-3535

Call (626) 905-5957 Map

Mailing address

8285 Wheeler Ave
Fontana, CA 92335-3538

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95037451 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992622344

Michael Tan, RN, NP's National Provider Identifier is 1992622344, issued on Jul 6, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fontana, CA. The record was last updated on Jul 6, 2026.