DR. JEANNIE TAN


Address: 395 Hickey Blvd, Daly City, CA 94015-2770
Phone: 6503015889

DR. JEANNIE TAN (NPI# 1457441412) 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) 1457441412
Entity Type Individual
Full Name DR. JEANNIE TAN
Credential M.D.
Practice Address 395 Hickey Blvd
Daly City
CA 94015-2770
Mailing Address 3326 Market St
San Francisco
CA 94114-2229
Practice Telephone 6503015889
Practice Fax Number 6503015801
Mailing Telephone 4158612317
Enumeration Date 2006-10-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology A76539 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 395 HICKEY BLVD
City DALY CITY
State CA
Zip Code 94015-2770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568492445 Kenneth Hsu-ping Chuang Internal Medicine 395 Hickey Blvd, Daly City, CA 94015-2770 2006-07-04
1851910806 Maria Carmen Ines Cabrera Nevalga Dietitian, Registered 395 Hickey Blvd, Daly City, CA 94015-2770 2020-04-09
1952876237 Erica Ho Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2018-10-12
1073020376 Gregory Art Garcia Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2018-01-08
1710408646 Aleyna Sachiko Fong Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2017-06-30
1851824619 Melissa Chinn Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2017-04-09
1861924698 Annie Huang Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2017-03-30
1801328836 Kathy Pui Law Pharmacist 395 Hickey Blvd, 1st Floor Pharmacy, Daly City, CA 94015-2770 2017-03-29
1245762202 Sylvia Lo Pharmacist 395 Hickey Blvd, 1st Floor, Daly City, CA 94015-2770 2017-03-29
1073986030 Bethany Pianca Dietitian, Registered 395 Hickey Blvd, Daly City, CA 94015-2770 2015-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881235901 Fast Express Ride Inc Non-emergency Medical Transport (VAN) 381 Westlake Ctr # 292, Daly City, CA 94015 2019-09-30
1598231888 National Vision Inc Technician/Technologist 148a Serramonte Center, Daly City, CA 94015 2018-10-15
1174017313 Glaiza Cecilia S Canares Student in an Organized Health Care Education/Training Program 255 Dennis Drive, Daly City, CA 94015 2018-06-20
1154869477 Noah Bautista Massage Therapist 151 87th St Suite 4, Daly City, CA 94015 2017-02-07
1417387291 Accuquest Hearing Centers Clinic/Center 10 Park Plaza Dr., Daly City, CA 94015 2013-11-15
1801193800 Carol Crane Physical Therapy Assistant 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 2011-02-28
1366753808 Emerito Cesar C Nunag Physical Therapy Assistant 595 Clarinada Avenue #2, Daly City, CA 94015 2010-06-30
1356668016 Lauren Rose Hendrick Marriage & Family Therapist 355 Gellert Blvd Suite 280, Daly City, CA 94015 2010-04-21
1205061868 Isabel A. Walsh General Practice 783 Skyline Dr., Daly City, CA 94015 2009-05-26
1790933539 Frank Geoffrey Yeh Dentist 1440 Southgate Ave., Daly City, CA 94015 2008-09-05
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992704696 John S Mcnamara Ophthalmology 901 Campus Dr Ste 203, Daly City, CA 94015-4930 2005-07-15
1013916733 Daniel J Buckley Ophthalmology 1800 Sullivan Ave Rm 410, Daly City, CA 94015-2224 2005-07-14
1922006071 Barry A Mcnamara Ophthalmology 1440 Southgate Ave, Daly City, CA 94015-2246 2005-07-12
1801891551 Michael Richard Hee Ophthalmology 1850 Sullivan Ave, Ste 540, Daly City, CA 94015-2215 2005-06-18
1851521603 Paul R Holland Md Inc Ophthalmology 2171 Junipero Serra Blvd, Ste 100, Daly City, CA 94014-1906 2009-07-14
1265695613 James H Abrams Md A Professional Corporation Ophthalmology 901 Campus Dr, Ste 205, Daly City, CA 94015-4900 2008-07-07
1699970129 Andrea Jue Ophthalmology 1850 Sullivan Avenue, Suite 540, Daly City, CA 94015-2215 2007-06-15
1982805107 Elizabeth Palkovacs Ophthalmology 901 Campus Drive, Suite 205, Daly City, CA 94015 2007-05-29
1447462726 Paul R Holland Ophthalmology 2171 Junipero Serra Blvd, Ste 100, Daly City, CA 94014-1906 2007-05-07
1295887966 Susan Longar Md, A Professional Corporation Ophthalmology 1850 Sullivan Ave, Ste 500, Daly City, CA 94015-2215 2007-01-16
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Competitor

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City DALY CITY
Zip Code 94015

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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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