AGNES TAN (NPI# 1205384823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER LICENSE | 95004938 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898851 | Agnes Tan | Dental Hygienist | 105 W Madison St, Chicago, IL 60602-4602 | 2020-03-31 |
| Street Address |
2699 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2710 |
| 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 | ||||
| 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 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| 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 | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on AGNES 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.