JESSICA TAN


Address: 99 Montecillo Rd, San Rafael, CA 94903-3308
Phone: 4154444838

JESSICA TAN (NPI# 1568001071) 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) 1568001071
Entity Type Individual
Full Name JESSICA TAN
Practice Address 99 Montecillo Rd
San Rafael
CA 94903-3308
Mailing Address 2681 Driftwood St
Hayward
CA 94545-1304
Practice Telephone 4154444838
Enumeration Date 2019-12-31
Last Update Date 2019-12-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 81156 CA Pharmacy Service Providers

Other Providers JESSICA TAN

NPI Name Taxonomy Address Enumeration
1598245755 Jessica Tan Physical Therapist 11335 Ssg Sims St., El Paso, TX 79918 2018-08-17
1598327967 Jessica Tan Physician Assistant 50 Acacia Ave, San Rafael, CA 94901-2230 2019-07-05
1417480310 Jessica Tan Nurse Practitioner 861 Coronado Center Dr Ste 220, Henderson, NV 89052 2017-04-07
1760842181 Jessica Tan Case Manager/Care Coordinator 4300 Sw 13th St, Gainesville, FL 32608-4006 2016-02-26
1578713707 Jessica Suhui Tan Allergy & Immunology 1000 Franklin Pkwy, San Mateo, CA 94403-1922 2008-09-24
1417156811 Jessica Chi-min Tan Radiology 505 Parnassus Ave, L-371, San Francisco, CA 94143-2204 2007-07-16

Office Location

Street Address 99 MONTECILLO RD
City SAN RAFAEL
State CA
Zip Code 94903-3308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174528889 Jeffry D Cardneau Surgery 99 Montecillo Rd, Mob 1, 2nd Floor, Department of Surgery, San Rafael, CA 94903-3308 2005-06-17
1225645468 Lauren Freudman Occupational Therapist 99 Montecillo Rd, San Rafael, CA 94903-3308 2020-09-30
1285254037 Omar Ahmed Pharmacist 99 Montecillo Rd, San Rafael, CA 94903-3308 2020-04-22
1447887229 Meka Angela Parks Registered Nurse 99 Montecillo Rd, San Rafael, CA 94903-3308 2020-03-24
1710519202 Mahsa Khorramdin Pharmacist 99 Montecillo Rd, San Rafael, CA 94903-3308 2020-02-12
1720626211 Ava May Mahan Pharmacist 99 Montecillo Rd, San Rafael, CA 94903-3308 2019-12-15
1437797271 Alicia Pontecorvo Dietitian, Registered 99 Montecillo Rd, San Rafael, CA 94903-3308 2019-12-11
1437795499 Shirley Liu Pharmacist 99 Montecillo Rd, San Rafael, CA 94903-3308 2019-11-25
1831740422 Natalie Marie Vano Nurse Practitioner 99 Montecillo Rd, San Rafael, CA 94903-3308 2019-09-25
1881168771 Mary Vertinski Psychologist 99 Montecillo Rd, San Rafael, CA 94903-3308 2019-01-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
Find all providers in zip 94903

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386112951 Jessica Robinson Pharmacist 350 Northgate One, San Rafael, CA 94903-3415 2018-11-12
1225554470 I-kuan Hsu Pharmacist 100 Smith Ranch Rd Fl 2, San Rafael, CA 94903-5552 2017-08-19
1558725168 Tashi Gonpo Pharmacist 1500 Northgate Dr, San Rafael, CA 94903-3671 2016-04-09
1851718498 Mayra Guzman Pharmacist 950 Las Gallinas Av, San Rafael, CA 94903 2014-03-20
1093144594 Tiffany Deering Pharmacist 9 Diego Dr, San Rafael, CA 94903-2367 2013-11-05
1285063172 Elham Barkhordari-bafoghi Pharmacist 1030 Cresta Way, Apt # 3, San Rafael, CA 94903-4842 2013-11-01
1194093351 Jessica Anne Clubb Pharmacist 950 Las Gallinas Ave, Safeway Pharmacy, San Rafael, CA 94903 2011-12-02
1922308345 Frank Peter Tarantino Pharmacist 485 Pinewood Dr, San Rafael, CA 94903-1331 2010-11-02
1740592492 Dennis Philip Schafer Pharmacist 471 3rd St, San Rafael, CA 94901-3576 2010-07-10
1669606984 Nicole Marie Clausen Pharmacist 1525 Francisco Blvd E Ste 2, San Rafael, CA 94901-5560 2009-05-14
Find all providers in SAN RAFAEL

Competitor

Search similar providers

City SAN RAFAEL
Zip Code 94903

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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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