Doctor profile · Federal record
Dr. Justin Tan, M.D.
Diagnostic Radiology Physician (CMS: Interventional Radiology) · Vascular & Interventional Radiology Physician · San Diego, CA
- NPI 1629385927
- Accepts Medicare
- 17 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4647 Zion Ave, Department of Radiology
San Diego, CA 921202507
(619) 528-6000
Credentials & registration
- NPI registered
- September 2010 — 16 yrs on file
- Profile last updated
- December 1, 2021
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- California #A113634
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629385927. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$595
Transactions
8
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 3 | $193.21 | |
| Cook Medical LLC | 1 | $143.70 | |
| AngioDynamics, INC. | 1 | $125.08 | |
| Avanos Medical | 1 | $85.15 | |
| Cagent Vascular INC | 1 | $24.32 | |
| Medtronic, INC. | 1 | $24.03 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Justin Tan's medical specialty?
Dr. Justin Tan practices Diagnostic Radiology Physician in San Diego, CA.
Where does Dr. Justin Tan practice?
Dr. Justin Tan practices at 4647 Zion Ave, San Diego, CA 921202507. Office phone: 6195286000.
What is Dr. Justin Tan's NPI?
Dr. Justin Tan's National Provider Identifier (NPI) is 1629385927, issued by NPPES.
Does Dr. Justin Tan accept Medicare assignment?
Yes. Dr. Justin Tan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.