DR. JEFFREY TIONG GUAN TAN (NPI# 1770597825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770597825 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY TIONG GUAN TAN |
| Credential | M.D. |
| Practice Address |
1720 El Camino Real Suite 205 Burlingame CA 94010-3224 |
| Practice Telephone | 6502595050 |
| Practice Fax Number | 6506971317 |
| Mailing Telephone | 6502595050 |
| Mailing Fax Number | 6506971317 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A046699 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1407059751 | Jeffrey P Tan | Family Medicine | 301 Brundage Ln, Bakersfield, CA 93304-3248 | 2007-06-06 |
| 1770794216 | Jeffrey C Tan | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2007-05-25 |
| Street Address |
1720 EL CAMINO REAL SUITE 205 |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486359 | Lisa A. Frey | Nurse Practitioner | 1720 El Camino Real, Suite 130, Burlingame, CA 94010-3224 | 2005-09-10 |
| 1922462431 | Sutter Bay Hospitals | Custodial Care Facility | 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3224 | 2016-04-11 |
| 1801264874 | Lillian Nelson | Nurse Practitioner | 1720 El Camino Real, Burlingame, CA 94010-3224 | 2015-09-08 |
| 1164763231 | Anne Thai Md, A Professional Corporation | Internal Medicine | 1720 El Camino Real, Suite Number 155, Burlingame, CA 94010-3224 | 2013-03-14 |
| 1720352636 | Aaron M. Roland | Family Medicine | 1720 El Camino Real, 130, Burlingame, CA 94010-3224 | 2012-02-24 |
| 1861765901 | Victor Liu | Specialist | 1720 El Camino Real, Suite 200, Burlingame, CA 94010-3224 | 2012-02-21 |
| 1689942062 | Howard A Cohen Md, Inc | Specialist | 1720 El Camino Real, Ste 210, Burlingame, CA 94010-3224 | 2011-12-13 |
| 1902173388 | Peggy Zeng | Optometrist | 1720 El Camino Real, Suite 225, Burlingame, CA 94010-3224 | 2011-11-29 |
| 1548566177 | Aditi Chandra | Internal Medicine | 1720 El Camino Real, Ste 160, Burlingame, CA 94010-3224 | 2011-01-29 |
| 1548583651 | Peninsula Endoscopy Center LLC | Clinic/Center | 1720 El Camino Real, Suite 100, Burlingame, CA 94010-3224 | 2010-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1841681533 | Adriana Lee | Pediatrics | 1331 Carlos Ave, Burlingame, CA 94010-5627 | 2015-02-17 |
| 1124213178 | Deepti Sinha | Pediatrics | 1720 El Camino Real Ste 105, Burlingame, CA 94010-3224 | 2007-09-12 |
| 1649337247 | Robert David Jacobs | Pediatrics | 2965 Arguello Drive, Burlingame, CA 94010 | 2007-01-02 |
| 1770517732 | David E. Wanderman | Pediatrics | 1720 El Camino Real Ste 205, Burlingame, CA 94010-3226 | 2006-07-10 |
| 1902006364 | Jean Yuan | Pediatrics | 1720 El Camino Real, Suite 205, Burlingame, CA 94010-3224 | 2007-07-23 |
| 1578778197 | Peninsula Pediatric Med Grp Inc | Pediatrics | 1720 El Camino Real, Suite #205, Burlingame, CA 94010-3224 | 2007-05-14 |
| 1245356898 | Eric Perez | Pediatrics | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2007-03-22 |
| 1295888253 | Tomas Dolf Zillmann | Pediatrics | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2007-01-20 |
| 1194892877 | Debra A Barra-stevens | Pediatrics | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2006-11-29 |
| Find all providers in BURLINGAME | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
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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.