JEFFREY P TAN (NPI# 1407059751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407059751 |
| Entity Type | Individual |
| Full Name | JEFFREY P TAN |
| Credential | MD |
| Practice Address |
301 Brundage Ln Bakersfield CA 93304-3248 |
| Mailing Address |
40 Medical Park Wheeling WV 26003-6392 |
| Practice Telephone | 3313236086 |
| Practice Fax Number | 6613246301 |
| Mailing Telephone | 3042433880 |
| Mailing Fax Number | 3042433895 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A98579 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | A98579 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164549358 | Jeffrey Andreas Tan | Psychologist | 5000 W Sunset Blvd Fl 4, Citibank Building, Los Angeles, CA 90027-5861 | 2007-03-23 |
| 1912092859 | Jeffrey Tan | Radiology | 2917 Daimler St # Us, Santa Ana, CA 92705-5810 | 2006-10-04 |
| 1033407549 | Jeffrey Jing Tan | Ophthalmology | 1245 Wilshire Blvd Ste 380, Los Angeles, CA 90017-4886 | 2011-07-18 |
| 1770794216 | Jeffrey C Tan | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2007-05-25 |
| 1770597825 | Jeffrey Tiong Guan Tan | Pediatrics | 1720 El Camino Real, Suite 205, Burlingame, CA 94010-3224 | 2006-07-27 |
| Street Address |
301 BRUNDAGE LN |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93304-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689244 | Debra Lee Stewart | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2006-02-21 |
| 1295389393 | Alyssa Garza | Behavior Technician | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2019-07-26 |
| 1225582208 | William Joseph Scully | Nurse Practitioner | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2016-08-08 |
| 1609235100 | Roxanne Martinez Mcdermott | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2016-02-12 |
| 1316331135 | Erika Miranda | Marriage & Family Therapist | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2015-03-19 |
| 1407249733 | Jennifer Diane Wetherald | Obstetrics & Gynecology | 301 Brundage Ln, Bakersfield, CA 93304 | 2015-03-11 |
| 1083969695 | Javier Antonio Hernandez | Nurse Practitioner | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2012-07-19 |
| 1831453836 | Jacqueline Majella Rubillar Uy | Family Medicine | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2012-06-25 |
| 1982973582 | Mel Clark Requias Taveros | Pediatrics | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2011-12-28 |
| 1609029255 | James Scott Johnston | Neurological Surgery | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041333 | Luisa Maria Jimenez | Case Manager/Care Coordinator | 3501 Wilson Road, Bakersfield, CA 93304 | 2020-04-07 |
| 1215444955 | New Start Youth Facility Inc | Clinic/Center | 2409 Belvedere Ave, Bakersfield, CA 93304 | 2018-01-03 |
| 1962924092 | Paula Rebecca Gonsalez | Case Manager/Care Coordinator | 5121 Stockdale Highway Ste. 250, Bakersfield, CA 93304 | 2017-07-11 |
| 1528400033 | Ruby Cruz | Social Worker | 609 4th Street, Bakersfield, CA 93304 | 2013-07-25 |
| 1548545502 | Deidre Rochelle Lee-mcneill | Pharmacist | 3315 South H Street, Bakresfield, CA 93304 | 2011-10-20 |
| 1770863144 | Robyn D Garcia | Marriage & Family Therapist | 3105 Wilson Road, Bakersfield, CA 93304 | 2011-08-17 |
| 1043502784 | Arthur G Kaiser | Dentist | 2023 Brundage Lane, Bakersfield, CA 93304 | 2011-05-13 |
| 1063703361 | Elite Women's Health | Obstetrics & Gynecology | 901 34th St., Bakerfield, CA 93304 | 2011-04-21 |
| 1730409020 | Kabari Jamil Thompson | Counselor | 1902 South H St., Bakersfield, CA 93304 | 2010-06-09 |
| 1932439486 | Fata Inc | Acupuncturist | 2004 Brundage Lane, Bakersfield, CA 93304 | 2010-01-06 |
| Find all providers in zip 93304 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1265068092 | Universal Healthcare Services, Inc. | Family Medicine | 2123 Niles Street, Bakersfield, CA 93305-5007 | 2020-03-12 |
| 1326693524 | Yaqsa, Inc. | Family Medicine | 4040 San Dimas St Ste A, Bakersfield, CA 93301-1299 | 2019-08-05 |
| 1477117240 | Kristi Sakamoto | Family Medicine | 9330 Stockdale Hwy Ste 200, Bakersfield, CA 93311-3615 | 2019-04-26 |
| 1568928471 | Natalia Obando Cabrejo | Family Medicine | 9880 Brimhall Rd Unit 100, Bakersfield, CA 93312-2799 | 2019-02-15 |
| 1538623541 | Universal Healthcare Services, Inc. | Family Medicine | 8325 Brimhall Rd Ste 100a, Bakersfield, CA 93312-2244 | 2019-01-23 |
| 1508320797 | Universal Healthcare Services, Inc. | Family Medicine | 2734 Ming Ave, Bakersfield, CA 93304-4431 | 2019-01-22 |
| 1023502853 | Kendall Christine Lubatti | Family Medicine | 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312-4343 | 2018-06-15 |
| 1588153126 | Infusion and Clinical Services, Inc | Family Medicine | 5401 White Ln Ste A, Bakersfield, CA 93309-6279 | 2018-05-09 |
| 1629576384 | Universal Urgent Care, PC | Family Medicine | 2728 Ming Ave, Bakersfield, CA 93304-4431 | 2018-01-29 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93304 |
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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.