Jessica C Tan (NPI# 1417156811, PAC ID# 0941463400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1417156811 |
| PAC ID by PECOS | 0941463400 |
| Professional Enrollment ID | I20120519000073 |
| Full Name | Jessica C Tan |
| Organization Legal Name | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| Address |
1690 Barton Rd Suite 108 Redlands CA 92373-4230 |
| Phone Number | 9098067025 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284621525 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050228 | SAN FRANCISCO GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 455 Hickey Blvd, Suite 200, Daly City, CA 94015-2630 | 6507572030 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 14651 S Bascom Ave, Suite 120, Los Gatos, CA 95032-2004 | 4083569013 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 665 Munras Ave, Suite 109, Monterey, CA 93940-3136 | 8316569800 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 105 S Dr, Suite 110, Mountain View, CA 94040-4317 | 6502593165 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 | 9098067025 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 345 Convention Way, Suite 1 D, Redwood City, CA 94063-1444 | 6503063900 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 10111 Hole Ave, Riverside, CA 92503-3441 | 9513520555 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 225 W Hospitality Ln, San Bernardino, CA 92408-3244 | 9098905856 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 1001 Potrero Ave, San Francisco, CA 94110-3518 | UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP | |
| 1020 Francisco St, San Francisco, CA 94109-1127 | 8886853907 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 1180 Post St, San Francisco, CA 94109-5505 | 4152483700 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 325 Sacramento St, San Francisco, CA 94111-3601 | 4153214674 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 4144 Redwood Hwy, Suite B, San Rafael, CA 94903-2646 | 4154799907 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| Organization Legal Name | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi M Dambach | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Sean S London | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Gino Hidalgo Tagoylo | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 665 Munras Ave, Suite 109, Monterey, CA 93940-3136 |
| Ved Prakash | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Street Address |
1690 BARTON RD SUITE 108 |
| City | REDLANDS |
| State | CA |
| Zip | 92373-4230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi M Dambach | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Thomas A Steinmann | Optometry | Beaver Medical Group, L.p. | 1690 Barton Rd, Suite 200, Redlands, CA 92373-4231 |
| Neil D Jamron | Ophthalmology | Beaver Medical Group, L.p. | 1690 Barton Rd, Suite 200, Redlands, CA 92373-4231 |
| Sean S London | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Nguyen Khoi Ha | Ophthalmology | Beaver Medical Group, L.p. | 1690 Barton Rd, Suite 200, Redlands, CA 92373-4231 |
| Shawna M Lehmann | Optometry | Beaver Medical Group, L.p. | 1690 Barton Rd, Suite 200, Redlands, CA 92373-4231 |
| Victor S Perkel | Endocrinology | Beaver Medical Group, L.p. | 1690 Barton Rd, Suite 200, Redlands, CA 92373-4231 |
| Ved Prakash | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Roth | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Maria A Arellano Piedra | Psychologist, Clinical | Loma Linda University Behavioral Medicine Center, Inc. | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Esther R Youngman | Clinical Social Worker | Loma Linda University Behavioral Medicine Center, Inc. | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Cameron J Johnson | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Roger Wenger | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| William Murdoch | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Melissa J Pereau | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Pharez Dishon Rolle | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Loren C King | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Adam Lapree Arechiga | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Find all physicians in zip 92373 | |||
| City | REDLANDS |
| Zip Code | 92373 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | REDLANDS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jessica C Tan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.