MEDICARE: TAN AND TAN MEDICAL GROUP PROF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1346198975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAN AND TAN MEDICAL GROUP PROF LLC

Provider Business Mailing Address
First Line	:	6549 DITMARS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-8026
Country	:	US
Telephone Number	:	725-236-5674
Fax Number	:

Provider Business Practice Location Address
First Line	:	6549 DITMARS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-8026
Country	:	US
Telephone Number	:	725-236-5674
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHILINE JOEY TAN-BIRKET
Credential	:	FNP-C
Telephone Number	:	725-236-5674

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

Similar Medicare Providers

1356620660 — DANA TUNSON
Practice Location Address:

6534 DITMARS ST
LAS VEGAS, NV
89166-8026

Practice Phone: 702-540-0719
Practice Fax:

1689554891 — CHILINE JOEY TAN-BIRKET FNP
Practice Location Address:

6549 DITMARS ST
LAS VEGAS, NV
89166-8026

Practice Phone: 562-754-7957
Practice Fax:

1235377763 — ERLINDA ANORES RAUCH M.D.
Practice Location Address:

8026 SUNSET CREEK STREET
LAS VEGAS, NV
89113

Practice Phone: 702-361-5405
Practice Fax:

1902307242 — MIKAELA KURIN CLARK PSY
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax:

1487143301 — TANESHA WATKINS
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax:

1467941252 — JONTAU WHITE
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax:

Directions to “TAN AND TAN MEDICAL GROUP PROF LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.