WANTING TAN (NPI# 1023488814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023488814 |
| Entity Type | Individual |
| Full Name | WANTING TAN |
| Credential | PMHNP |
| Practice Address |
4929 Wilshire Blvd Ste 510 Los Angeles CA 90010-3820 |
| Mailing Address |
4929 Wilshire Blvd, Suite 510 Los Angeles CA 90010 |
| Practice Telephone | (562) 904-3999 |
| Mailing Telephone | 5629043999 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2019-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95047227 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95005097 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5151 State University Dr, Los Angeles, CA 900324226 | 3233433000 |
| Street Address |
4929 WILSHIRE BLVD STE 510 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770679839 | Katherine Holman | Nurse Practitioner | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2006-10-05 |
| 1851875389 | Atusa Faghiri | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2018-09-20 |
| 1518454131 | Fereshteh Ghahremani Sorouri | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2018-04-19 |
| 1821594979 | Sheila Rosemary Hoban | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2018-04-05 |
| 1669977989 | Giuliana Zlatar | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2018-03-28 |
| 1487172920 | Tiffany Massia | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2017-09-05 |
| 1497154751 | Faiza M Duale | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010 | 2014-08-21 |
| 1619383478 | Kari Tervo | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2014-07-01 |
| 1750635181 | Richard Louis IIi | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2012-11-07 |
| 1184972432 | Chao Chin Kuo | Psychologist | 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010-3820 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994323 | Gina Ameri | Nurse Practitioner | 10968 Rose Ave Apt 6, Los Angeles, CA 90034-5329 | 2020-08-24 |
| 1689203093 | Farooque Azam | Nurse Practitioner | 1654 Middleton Pl, Los Angeles, CA 90062-1033 | 2020-04-07 |
| 1336600410 | Karen Meske | Nurse Practitioner | 4295 Via Arbolada Unit 106, Los Angeles, CA 90042-5105 | 2019-03-29 |
| 1356822142 | Together Psychiatric Nurse Practitioner and Associates, A Nursing Corp | Nurse Practitioner | 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006-6507 | 2018-08-28 |
| 1588161129 | Louise Thompson | Nurse Practitioner | 512 S Park View St Apt 408, Los Angeles, CA 90057-2744 | 2018-04-10 |
| 1295248110 | Tehila Tanya Abrekov | Nurse Practitioner | 1539 S Shenandoah St Apt 303, Los Angeles, CA 90035-4479 | 2017-11-14 |
| 1649545328 | Dana Lynn Lambrose | Nurse Practitioner | 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017-5600 | 2012-03-14 |
| 1427290030 | Gerald M Baltz | Nurse Practitioner | 8060 Melrose Ave Ste 200, Los Angeles, CA 90046-7037 | 2009-03-27 |
| 1568603256 | Jordan Swiskow | Nurse Practitioner | 1625 Schrader Blvd # 402, Los Angeles, CA 90028-6213 | 2009-03-10 |
| 1316018591 | Sharon Collette Mcdaniel | Nurse Practitioner | 550 S Vermont Ave Ste 601, Los Angeles, CA 90020-1912 | 2006-11-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on WANTING TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.