DR. JENNY TAN (NPI# 1457620528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457620528 |
| Entity Type | Individual |
| Full Name | DR. JENNY TAN |
| Credential | MD |
| Practice Address |
100 S Anaheim Blvd Ste 101 Anaheim CA 92805-3848 |
| Practice Telephone | 7148261200 |
| Practice Fax Number | 7146654652 |
| Mailing Telephone | 7148261200 |
| Mailing Fax Number | 7146654652 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A119050 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3010 W Orange Ave Ste 302, Anaheim, CA 928043172 | 7148251200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598250136 | Jenny Tan | Optometrist | 2401 N 16th St, Orange, TX 77630-2331 | 2018-06-26 |
| 1356847230 | Jenny Tan | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-04-01 |
| 1588895395 | Jenny Yu Tan | Nurse Practitioner | 975 Westchester Ave, Bronx, NY 10459-3204 | 2009-07-29 |
| 1477513208 | Jenny Tan | Pediatrics | 3755 E Main St, Ste 190, St Charles, IL 60174-2463 | 2006-03-24 |
| Street Address |
100 S ANAHEIM BLVD STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089135 | David R Simon | Internal Medicine | 100 S Anaheim Blvd Ste 101, Anaheim, CA 92805-3848 | 2005-11-07 |
| 1427462159 | Trucvy Hoang Le | Family Medicine | 100 S Anaheim Blvd Ste 101, Anaheim, CA 92805 | 2014-06-20 |
| 1215976840 | Melissa E. Gutierrez | Family Medicine | 100 S Anaheim Blvd Ste 101, Anaheim, CA 92805-3848 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928297 | Dr Ekta Sharma Md Mph Inc | Family Medicine | 905 S Canyon Heights Dr, Anaheim, CA 92808-1683 | 2019-12-03 |
| 1558924498 | Careplus Medical Clinic | Family Medicine | 5783 E La Palma Ave, Anaheim, CA 92807-2229 | 2019-04-16 |
| 1346723665 | Access California Services | Family Medicine | 631 S Brookhurst St Ste 107, Anaheim, CA 92804-3576 | 2018-09-12 |
| 1114457538 | A&c Urgent Care Inc | Family Medicine | 1000 S Anaheim Blvd Ste 200, Anaheim, CA 92805 | 2017-06-18 |
| 1205364569 | Calvin Triet Doan | Family Medicine | 925 S Euclid St, Anaheim, CA 92802-1522 | 2017-05-31 |
| 1235666744 | Maria Corazon Meris Md Inc | Family Medicine | 3400 W Ball Rd Ste 102, Anaheim, CA 92804-3735 | 2017-05-15 |
| 1255863338 | Grey Le | Family Medicine | 947 S Anaheim Blvd Ste 125, Anaheim, CA 92805-5584 | 2017-03-29 |
| 1851711014 | Anhthu T Nguyen | Family Medicine | 2140 S State College Blvd Apt 3014, Anaheim, CA 92806-0162 | 2014-04-25 |
| 1801214788 | Catherine Marks | Family Medicine | 3400 West Ball Rd, Suite 202, Anaheim, CA 92804-3735 | 2014-03-28 |
| 1982966883 | Salma Ahmed Farukhi | Family Medicine | 2040 S. Santa Cruz Street, #245, Anaheim, CA 92803-5090 | 2012-06-15 |
| Find all providers in ANAHEIM | ||||
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| 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.