DR. SULLYVAN W TANG (NPI# 1770549206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770549206 |
| Entity Type | Individual |
| Full Name | DR. SULLYVAN W TANG |
| Credential | M.D. |
| Practice Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152300 |
| Practice Fax Number | 6199064564 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6199064564 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A60959 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
823 GATEWAY CENTER WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863968 | Johanna Green-jacob | Nurse Practitioner | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2005-10-03 |
| 1376104570 | Joyce Catherine Neville | Speech-Language Pathologist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-06-27 |
| 1508426529 | Fatimah Nadimi | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-06-20 |
| 1700440781 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1619531696 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1952863631 | Danielle Julia Sills | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-02 |
| 1275098626 | Maria Josefa Dorronsoro | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-02-08 |
| 1104397934 | Lakiesha Maria Wilks | Social Worker | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-12-05 |
| 1366911901 | Leticia Isabel Rico-raya | Marriage & Family Therapist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-11-13 |
| 1871061812 | Carmen Elia Suarez | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233645 | Svr Medical PC | Internal Medicine | 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 | 2020-07-30 |
| 1023639176 | Arthur Wong | Internal Medicine | 4222 Kansas St Unit 2, San Diego, CA 92104-1802 | 2020-04-29 |
| 1679102461 | Santosh Vetticaden | Internal Medicine | 6420 Mesa Norte Dr, San Diego, CA 92130-6852 | 2020-04-03 |
| 1225664964 | Andres Smith M.d. A Professional Medical Corporation | Internal Medicine | 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 | 2020-03-13 |
| 1154972388 | Kimberly Hall Fernandez | Internal Medicine | 700 W E St Unit 2101, San Diego, CA 92101-5993 | 2019-09-29 |
| 1992289300 | Sd Healthcare Solutions | Internal Medicine | 5943 Thorn St, San Diego, CA 92105-3916 | 2018-09-21 |
| 1992295331 | Alera Inc | Internal Medicine | 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 | 2018-05-11 |
| 1275020844 | Lf Capital Inc | Internal Medicine | 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 | 2018-04-18 |
| 1710401302 | Ca Post Acute Specialists PC | Internal Medicine | 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 | 2017-07-26 |
| 1063933604 | John Jackson Howard | Internal Medicine | 4616 Patricia Pl, San Diego, CA 92115-1934 | 2017-07-05 |
| Find all providers in SAN DIEGO | ||||
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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.