DE TAN (NPI# 1851384044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851384044 |
| Entity Type | Individual |
| Full Name | DE TAN |
| Practice Address |
2725 Capitol Ave Dept 300 Sacramento CA 95816-6006 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9162629370 |
| Practice Fax Number | 9162629375 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A90989 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A909890 | 05 | |
| CA | ZZZ80876Z | 05 |
| Street Address |
2725 CAPITOL AVE DEPT 300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841610862 | Stephanie Mai | Internal Medicine | 2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 | 2014-04-17 |
| 1891022273 | Kristine Yvette Barona Palileo | Physician Assistant | 2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 | 2009-11-05 |
| 1376631911 | Linda Y Chiang | Physician Assistant | 2725 Capitol Ave Dept 300, Sacramento, CA 95816 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225271331 | Eric Chak | Internal Medicine | 2825 J St Ste 400, Sacramento, CA 95816-4300 | 2009-04-20 |
| 1134255698 | Jeffrey A Goldstein | Internal Medicine | 3941 J Street Suite 450, Sacremento Gastroenterology, Sacramento, CA 95819 | 2007-02-26 |
| 1740232875 | Cecilia Terrado | Internal Medicine | 4150 V St Ste 3500, Sacramento, CA 95817-1460 | 2006-05-17 |
| 1891779740 | Rekha Cheruvattath | Internal Medicine | 8120 Timberlake Way Ste 101, Sacramento, CA 95823-5413 | 2005-12-05 |
| 1861493413 | Roger Edward Mendis | Internal Medicine | 2725 Capitol Ave, Suite 300, Sacramento, CA 95816-6004 | 2005-08-04 |
| 1811455652 | Hansen Kwok Md Inc | Internal Medicine | 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 | 2019-03-12 |
| 1487032355 | Sirisha Grandhe | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817 | 2015-05-12 |
| 1326434200 | Sheeva Johnson | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-04-08 |
| 1841610862 | Stephanie Mai | Internal Medicine | 2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 | 2014-04-17 |
| 1992122196 | Alexander Kuo | Internal Medicine | 4150 V St, #1100, Sacramento, CA 95817-1460 | 2014-03-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on DE TAN.
| 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.