JEFFREY C TAN


Address: 2845 Siena Heights Dr, Henderson, NV 89052-4153
Phone: 7026177227

JEFFREY C TAN (NPI# 1770794216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770794216
Entity Type Individual
Full Name JEFFREY C TAN
Practice Address 2845 Siena Heights Dr
Henderson
NV 89052-4153
Mailing Address Po Box 35380
Las Vegas
NV 89133-5380
Practice Telephone 7026177227
Enumeration Date 2007-05-25
Last Update Date 2017-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD60158622 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV SMA MEDICARE V50547 01
LA 09962 05
WA 2008990 05
NV SMA MEDICAID 1770794216 01

Other Providers JEFFREY TAN

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
1770597825 Jeffrey Tiong Guan Tan Pediatrics 1720 El Camino Real, Suite 205, Burlingame, CA 94010-3224 2006-07-27

Office Location

Street Address 2845 SIENA HEIGHTS DR
City HENDERSON
State NV
Zip Code 89052-4153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558350827 Chang-hoon Ahn Family Medicine 2845 Siena Heights Dr, Henderson, NV 89052-4153 2005-10-19
1386201341 William Song Nurse Practitioner 2845 Siena Heights Dr, Henderson, NV 89052-4153 2019-05-24
1831666338 Kayanna M. Gilbert Physician Assistant 2845 Siena Heights Dr, Henderson, NV 89052-4153 2018-11-01
1356833222 Roshni Panchal Graydus Nurse Practitioner 2845 Siena Heights Dr, Henderson, NV 89052-4153 2018-06-05
1972006476 Julienne Go Nurse Practitioner 2845 Siena Heights Dr, Henderson, NV 89052 2018-03-12
1083157705 Southwest Medical Associates Health Maintenance Organization 2845 Siena Heights Dr, Henderson, NV 89052-4153 2016-11-29
1427405869 Andrew Stanton Family Medicine 2845 Siena Heights Dr, Henderson, NV 89052 2016-05-16
1710340179 Jing Qian Zhang Family Medicine 2845 Siena Heights Dr, Henderson, NV 89052-4153 2016-04-03
1306225750 Arshia Rassi Obstetrics & Gynecology 2845 Siena Heights Dr, Henderson, NV 89052 2015-05-19
1245617802 Amanda Lynne Fagan Family Medicine 2845 Siena Heights Dr, Henderson, NV 89052-4153 2015-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740889112 Nathan Michael Nasternak Physical Therapist 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 2020-10-18
1558987180 Braxton Chad Storm Counselor 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 2020-06-19
1558996546 The Eye Doctor At St. Rose LLC Eyewear Supplier (Equipment, not the service) 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 2020-03-10
1770138521 Quinn Dentists of St. Rose, PC Dentist 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 2019-08-08
1346802568 Rickie Kwong Chin Jr. Optometrist 695 S. Green Valley Pkwy, Henderson, NV 89052 2019-07-08
1134695646 Nu Smiles, LLC Clinic/Center 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 2018-10-23
1003393497 Katherine Lee Villarreal Physical Therapist 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 2018-07-27
1790281889 Vicki Lorraine Schmidt Nurse Practitioner 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 2018-04-05
1326566969 Shelby Schiller Social Worker 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 2017-09-04
1639696826 Pca Ventures, LLC Technician 2656 Soda Butte Court, Henderson, NV 89052 2017-08-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740807619 Sherrin Soliman Family Medicine 761 Crest Valley Pl, Henderson, NV 89011-2663 2020-06-26
1932724143 Qv Now Pllc Family Medicine 1600 Us Highway 79 S Ste B, Henderson, TX 75654-4508 2020-06-12
1154944544 Partners In Primary Care Nv PC Family Medicine 390 W Lake Mead Pkwy, Henderson, NV 89015-7417 2020-05-20
1689134116 Transforming Arts Inc Family Medicine 2900 N Green Valley Pkwy Ste 114, Henderson, NV 89014-0408 2019-03-21
1609359165 Kenisha Voncille Thomas Family Medicine 1520 W Sunset Rd Ste 130, Henderson, NV 89014 2018-09-11
1336636521 Bob Dillon Enterprises Ltd Family Medicine 90 S Stephanie St Ste 110, Henderson, NV 89012-5574 2018-04-13
1013425255 Bikramjit Singh Nanar Family Medicine 1382 Opal Valley St, Henderson, NV 89052-3146 2018-01-22
1265965263 La Boss LLC Family Medicine 2404 Chateau Napoleon Dr, Henderson, NV 89044-0377 2017-04-06
1679922959 Sonia Garcia-jayne Family Medicine 2645 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052 2016-06-08
1043668015 Michelle I-hung Lin Family Medicine 2865 Siena Heights Dr Ste 140, Henderson, NV 89052-4168 2016-05-31
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Competitor

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City HENDERSON
Zip Code 89052

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Dataset Information

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.

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