Kingsley Tan, PA-C

NPI 1477032621 · on the registry since 2018 · sole proprietor

Practice

Address: 200 W Arbor Dr
San Diego, CA 92103
Phone: (800) 926-8273
Fax: (888) 539-8781
Organisation at this address: Ucsd
Ucsd Medical Center
Ucsd Emergency Medicine
Uc San Diego Health System
Univeristy Of California, San Diego
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3,049

Additional practice sites

330 Lewis St, San Diego, CA
1415 Ross Ave, El Centro, CA
4829 Fortin St, Baldwin Park, CA
4250 1st Ave, San Diego, CA
9400 Campus Point Dr, La Jolla, CA
9300 Campus Point Dr, La Jolla, CA
6655 Alvarado Rd, San Diego, CA

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California