Doctor profile · Federal record

Dr. Kingsley Tan, PA-C

Physician Assistant · San Diego, CA

  • NPI 1477032621
  • Accepts Medicare
  • 8 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 8 locations across 1 states.

NPPES Updated May 11, 2026
Primary practice
200 W Arbor Dr
San Diego, CA 921039000
(800) 926-8273
fax (888) 539-8781
Mailing address
File 57326
Los Angeles, CA 900740001
California — 7 locations
Additional location
1415 Ross Ave
El Centro, CA 922434306
Additional location
330 Lewis St
San Diego, CA 921032108
Additional location
4250 1St Ave
San Diego, CA 92103
Additional location
4829 Fortin St
Baldwin Park, CA 917061957
(626) 290-7539
Additional location
6655 Alvarado RD
San Diego, CA 921205208
Additional location
9300 Campus Point Dr
La Jolla, CA 920371300
Additional location
9400 Campus Point Dr
La Jolla, CA 920931350

Credentials & registration

NPPES · NUCC
NPI registered
August 2018 — 8 yrs on file
Profile last updated
October 10, 2025
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1477032621. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,094
Transactions
11
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Boston Scientific Corporation 5 $475.36
ShockWave Medical, INC 3 $378.32
Terumo Medical Corporation 2 $210.32
Gilead Sciences, INC. 1 $29.82

By nature of payment

Food and Beverage
$1,069
Education
$25

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Kingsley Tan's medical specialty?
Dr. Kingsley Tan practices Physician Assistant in San Diego, CA.
Where does Dr. Kingsley Tan practice?
Dr. Kingsley Tan practices at 200 W Arbor Dr, San Diego, CA 921039000. Office phone: 8009268273.
What is Dr. Kingsley Tan's NPI?
Dr. Kingsley Tan's National Provider Identifier (NPI) is 1477032621, issued by NPPES.
Does Dr. Kingsley Tan accept Medicare assignment?
Yes. Dr. Kingsley Tan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jun 4, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›