NICHOLAS GAN TAN (NPI# 1346657327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346657327 |
| Entity Type | Individual |
| Full Name | NICHOLAS GAN TAN |
| Credential | D.P.M. |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Mailing Address |
521 Greenbriar Cir Petaluma CA 94954-3539 |
| Practice Telephone | 9096332881 |
| Mailing Telephone | 9096332881 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL6709 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114424777 | Nicholas Tan | Student in an Organized Health Care Education/Training Program | Msc 10-5590 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2018-04-10 |
| 1770962029 | Nicholas Tan | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2015-05-20 |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467845065 | Vallejo Foot & Ankle Clinic | Podiatrist | 480 Redwood St Ste 10, Vallejo, CA 94590-2958 | 2015-03-06 |
| 1588126288 | Caroline J Ko | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-04-02 |
| 1669836763 | Stephanie Mita | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2016-04-05 |
| 1235511627 | Stephen Haynam | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2015-06-23 |
| 1467868885 | Kyle Willson | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-07-07 |
| 1174949226 | Napa Solano Foot and Ankle | Podiatrist | 1460 N Camino Alto, Suite 101, Vallejo, CA 94589-2567 | 2014-03-13 |
| 1245526326 | Ninveh Omlin | Podiatrist | 975 Sereno Dr., Vallejo, CA 94589-2485 | 2011-06-27 |
| 1902117575 | Daphne Shienmei Yen-douangmala | Podiatrist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2010-06-28 |
| 1609187392 | Ryan Christian Thomas | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2010-06-28 |
| 1730350422 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2008-03-20 |
| Find all providers in VALLEJO | ||||
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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.