AGNES TAN


Address: 2699 Atlantic Ave, Long Beach, CA 90806-2710
Phone: 5629887383

AGNES TAN (NPI# 1205384823) 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) 1205384823
Entity Type Individual
Full Name AGNES TAN
Credential NP
Practice Address 2699 Atlantic Ave
Long Beach
CA 90806-2710
Practice Telephone 5629887383
Enumeration Date 2016-09-12
Last Update Date 2016-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
95004938 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NURSE PRACTITIONER LICENSE 95004938 01

Other Providers AGNES TAN

NPI Name Taxonomy Address Enumeration
1548898851 Agnes Tan Dental Hygienist 105 W Madison St, Chicago, IL 60602-4602 2020-03-31

Office Location

Street Address 2699 ATLANTIC AVE
City LONG BEACH
State CA
Zip Code 90806-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033194485 Sheila Ann Salamunovich Pharmacist 2699 Atlantic Ave, Long Beach, CA 90806-2710 2005-12-08
1871149351 Katherine K Tran Pharmacist 2699 Atlantic Ave, Long Beach, CA 90806-2710 2019-08-12
1023508330 Laura Sezonov Pharmacist 2699 Atlantic Ave, Long Beach, CA 90806-2710 2018-05-11
1346654365 Jana Zawadzki Longtine Internal Medicine 2699 Atlantic Ave, Long Beach, CA 90806-2710 2014-06-18
1205240264 Natasha Dang Internal Medicine 2699 Atlantic Ave, Long Beach, CA 90806-2710 2014-06-18
1790198786 Jeffrey Wu Internal Medicine 2699 Atlantic Ave, Long Beach, CA 90806-2710 2014-06-06
1093009375 Michele Lynn Eno Obstetrics & Gynecology 2699 Atlantic Ave, Long Beach, CA 90806-2710 2011-06-04
1861718397 Chau Lien Nguyen Internal Medicine 2699 Atlantic Ave, Long Beach, CA 90806-2710 2010-04-08
1629215520 James K Tam Internal Medicine 2699 Atlantic Ave, Long Beach, CA 90806-2710 2009-01-14
1952443434 Carole Marie Warde Internal Medicine 2699 Atlantic Ave, Long Beach, CA 90806-2710 2007-02-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437624913 Blanca C Gonzalez Community Health Worker 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 2018-10-10
1780192740 New Healthcare Supplies Inc Durable Medical Equipment & Medical Supplies 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 2018-01-11
1265946586 California Sleep Neurology Organization for Wellness Clinic/Center 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 2017-11-22
1053820613 Magnolia Cedeno-moreno Counselor 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 2017-09-27
1144747569 Kimberly Savanannah Rodriguez Social Worker 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 2017-08-25
1194257170 Sarah Mahmood Pediatrics The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 2017-03-29
1801334784 Denise Harbor Student in an Organized Health Care Education/Training Program 721 East 28th Street, Suite 401, Long Beach, CA 90806 2017-02-10
1083152839 Kim Vu Student in an Organized Health Care Education/Training Program 701 East 28th Street Ste. 416, Long Beach, CA 90806 2017-02-01
1568910719 Andrea Corona Community Health Worker 850 W Wardlow Rd, Long Beach, CA 90806 2016-09-16
1235589110 Sarah Keihany-yazdy Nurse Practitioner 2000 San Gabriel Ave, Long Beach, CA 90806 2016-06-21
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407464522 Laura Bradigan Nurse Practitioner 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 2020-07-15
1497379333 Gloria Jean Campbell Nurse Practitioner 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 2020-06-06
1548654650 Diane Cervelli Nurse Practitioner 1030 E 1st St, 3, Long Beach, CA 90802-5551 2015-03-26
1346583390 Joanne Elizabeth Armenia Nurse Practitioner 4901 E Carson St, Long Beach, CA 90808-1706 2013-03-28
1619238680 Rosemarie Thompson Nurse Practitioner 125 E Market St, Long Beach, NY 11561-2132 2012-06-06
1770882912 Diane Morgan Nurse Practitioner 330 E Broadway, Apt. 203, Long Beach, NY 11561-4323 2011-03-26
1174786875 Lea Lynette Pascual Nurse Practitioner 2491 East Anaheim Street, # 3, Long Beach, CA 90804 2008-07-03
1063691061 Riza Alma Vinzon Nurse Practitioner 4401 Atlantic Ave Ste 202, Long Beach, CA 90807 2007-10-26
1275736191 Judith Ruth Wilson Nurse Practitioner 1645 Clark Ave Unit 116, Long Beach, CA 90815-3807 2007-06-07
1811005473 Anita Cordova Nurse Practitioner 5901 East Seventh Street, Long Beach, CA 90822 2006-08-25
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90806

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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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