LI TAN (NPI# 1154961183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154961183 |
| Entity Type | Individual |
| Full Name | LI TAN |
| Practice Address |
1870 Lundy Ave San Jose CA 95131-1826 |
| Practice Telephone | 4085739686 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 526552 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1870 Lundy Ave, San Jose, CA 951311826 | 4085739686 |
| Street Address |
1870 LUNDY AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346295201 | Nidhi Gupta | Internal Medicine | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2006-05-22 |
| 1962930453 | Yat Man Yung | Social Worker | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2017-05-26 |
| 1396169793 | North East Medical Services | Pharmacy | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2014-02-06 |
| 1356762876 | North East Medical Services | Clinic/Center | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2013-12-31 |
| 1083035505 | North East Medical Services | Clinic/Center | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2013-12-31 |
| 1548697444 | North East Medical Services | Clinic/Center | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2013-10-09 |
| 1497193643 | Tim Thanh Nguyen | Family Medicine | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2013-06-10 |
| 1184987042 | Zachary S Lo | Nurse Practitioner | 1870 Lundy Ave, Suite 203, San Jose, CA 95131-1826 | 2012-06-16 |
| 1578889416 | Mark Y. Liang | Internal Medicine | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2010-04-16 |
| 1811160377 | John Tso | Family Medicine | 1870 Lundy Ave, San Jose, CA 95131-1826 | 2008-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991202 | Judy Muriuki | Registered Nurse | 361 Daisy Dr, San Jose, CA 95123-4438 | 2020-10-27 |
| 1053923466 | Bambie M Javier | Registered Nurse | 728 S Jackson Ave, San Jose, CA 95116-3626 | 2020-08-18 |
| 1669082129 | Alex Trinh | Registered Nurse | 1044 Wilsham Dr, San Jose, CA 95132-2959 | 2020-08-08 |
| 1679182927 | Jieun Lee | Registered Nurse | 660 N Capitol Ave, San Jose, CA 95133-1905 | 2020-07-23 |
| 1154939841 | Ngan Kim Vo | Registered Nurse | 858 Gateview Ct, San Jose, CA 95133 | 2020-07-19 |
| 1689203127 | Thuc Doan Da Nguyen | Registered Nurse | 2080 Alum Rock Ave Apt 224, San Jose, CA 95116-2012 | 2020-04-06 |
| 1124654611 | Michelle Lee | Registered Nurse | 1919 Fruitdale Ave Apt I8, San Jose, CA 95128-4931 | 2020-03-17 |
| 1538713045 | Sairo Mel Sanchez Gulde | Registered Nurse | 1696 Pala Ranch Cir, San Jose, CA 95133-0900 | 2019-08-01 |
| 1376033324 | Julie Gerseth | Registered Nurse | 1901 Monterey Hwy Ste 10, San Jose, CA 95112-6126 | 2018-05-15 |
| 1053819961 | Geraldin Romis | Registered Nurse | 2539 Glen Kew Ct, San Jose, CA 95148-4131 | 2018-01-25 |
| Find all providers in SAN JOSE | ||||
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| 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.