CATHERINE TAN (NPI# 1689038465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689038465 |
| Entity Type | Individual |
| Full Name | CATHERINE TAN |
| Practice Address |
4305 University Ave San Diego CA 92105-1645 |
| Mailing Address |
4305 University Ave Ste 150 San Diego CA 92105-1690 |
| Practice Telephone | 6195011235 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
101790 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 S Wakara Way, Salt Lake City, UT 841081213 | 8015876453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194855288 | Catherine Y. Tan | Optometrist | 235 N El Camino Real, Encinitas, CA 92024-2805 | 2007-03-07 |
| 1518429422 | Catherine Danielle Tan | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-04-01 |
| 1598870248 | Catherine Tan | Pediatrics | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2006-08-21 |
| 1508886219 | Catherine Chiu Tan | Internal Medicine | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2006-07-19 |
| Street Address |
4305 UNIVERSITY AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180262 | Ruth Barretta | Registered Nurse | 4305 University Ave, Ste 150, San Diego, CA 92105-1601 | 2005-11-14 |
| 1326589979 | Gustavo Barraza Sanchez | Assistant Behavior Analyst | 4305 University Ave, Suite 410, San Diego, CA 92105-1645 | 2017-03-15 |
| 1093174435 | Chelsea Hyun | Student in an Organized Health Care Education/Training Program | 4305 University Ave, San Diego, CA 92105-1645 | 2016-02-13 |
| 1437532538 | Esmeralda Vazquez | Case Manager/Care Coordinator | 4305 University Ave, Suite 410, San Diego, CA 92105-1645 | 2015-07-07 |
| 1992193726 | Rona Bodman | Dentist | 4305 University Ave, San Diego, CA 92105-1645 | 2015-01-01 |
| 1275977993 | Home Start | Case Management | 4305 University Ave, 410, San Diego, CA 92105-1645 | 2013-04-24 |
| 1659490308 | La Maestra Family Clinic Inc. | Clinic/Center | 4305 University Ave, Suite 150, San Diego, CA 92105-1645 | 2007-03-27 |
| 1891827184 | Bryan H Nghiem | Dentist | 4305 University Ave, Suite 150, San Diego, CA 92105-1645 | 2007-03-12 |
| 1033197850 | Blanca A Casaubon | Registered Nurse | 4305 University Ave, Ste 150, San Diego, CA 92105-1601 | 2006-01-03 |
| 1033195409 | Janice Baietto | Nurse Practitioner | 4305 University Ave, Ste 150, San Diego, CA 92105-1601 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.