SHUK FONG TANG APRN NPI 1003221102

NPI Information

  • NPI: 1003221102
  • Provider Name: SHUK FONG TANG, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2150 N 1ST ST FL 2
    SAN JOSE, CA
    ZIP 95131
  • Phone: (415) 291-0480

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NPI Details

Shuk Fong Tang, APRN is a family nurse practitioner in San Jose, CA with 11 years of experience. Shuk Fong Tang, APRN NPI is 1003221102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2150 N 1ST ST FL 2
SAN JOSE, CA
ZIP 95131-020
Phone: (415) 291-0480
Fax: (415) 252-7176

The NPI 1003221102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95084957CALIFORNIANo
2363LF0000XNurse PractitionerFamily76464KANSASNo
3363LF0000XNurse PractitionerFamily95003889CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201101110AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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