Vivian Tan (NPI# 1013951425, PAC ID# 5496817637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1013951425 |
| PAC ID by PECOS | 5496817637 |
| Professional Enrollment ID | I20081222000367 |
| Full Name | Vivian Tan |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Address |
1011 Sylvan Ave Suite C Modesto CA 95350-1693 |
| Phone Number | 2095504780 |
| Gender | F |
| Graduation Year | 1986 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9830094515 |
| Number of Group Practice Members | 1493 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050557 | MEMORIAL MEDICAL CENTER |
| 050528 | MEMORIAL HOSPITAL LOS BANOS |
| Address | Phone | Organization |
|---|---|---|
| 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 | 2095504780 | SUTTER VALLEY MEDICAL FOUNDATION |
| 600 Coffee Rd, Modesto, CA 95355-4201 | SUTTER VALLEY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Physicians | 1565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swe Than | Internal Medicine | Sutter Valley Medical Foundation | 1195 Queen Ann Dr, Sunnyvale, CA 94087-2240 |
| Manjinder Kaur | Rheumatology | Sutter Valley Medical Foundation | 1020 29th St, Sacramento, CA 95816-5173 |
| Kimberly Ann Riggs | Physical Therapy | Sutter Valley Medical Foundation | 685 Twelve Bridges Dr, Suite A, Lincoln, CA 95648-8689 |
| Andrea Lim Beyaoju | Nurse Practitioner | Sutter Valley Medical Foundation | 3161 L St, Sacramento, CA 95816-5234 |
| Anitha Choorakulam George | Nurse Practitioner | Sutter Valley Medical Foundation | 3425 Coffee Rd, Suite A2, Modesto, CA 95355-1582 |
| David Wong | Physical Therapy | Sutter Valley Medical Foundation | 420 B St, Yuba City, CA 95991-5070 |
| Julie Debra Hunt | Nurse Practitioner | Sutter Valley Medical Foundation | 4040 Sunrise Blvd, Suite 130, Rancho Cordova, CA 95742-6922 |
| Lakhvir Kaur | Internal Medicine | Sutter Valley Medical Foundation | 3 Medical Plaza Dr, Roseville, CA 95661-3088 |
| Gokul Budati | Family Medicine | Sutter Valley Medical Foundation | 16911 Willow Glen Rd, Brownsville, CA 95919-9707 |
| Katherine Melissa Sadoff | Occupational Therapy | Sutter Valley Medical Foundation | 2720 Low Ct, Fairfield, CA 94534-9771 |
| Street Address |
1011 SYLVAN AVE SUITE C |
| City | MODESTO |
| State | CA |
| Zip | 95350-1693 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Radha Chirumamilla | Internal Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Juan Sarti | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Ronald F Janda | Optometry | Sylvan Eye Associates An Optometric Corporation | 1011 Sylvan Ave, Suite A, Modesto, CA 95350-1693 |
| Ronald Dale Jensen | Podiatry | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Steven E Kobrine | Emergency Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Pallavi Sharma | Emergency Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Kenneth Imanaka | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| David Betz | Anesthesiology | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Esra Olgun | Internal Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Audrey O Tio | Internal Medicine | Sutter Valley Medical Foundation | 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MODESTO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Vivian 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.