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MARIA NELISA N TAN M.D. NPI 1457549107


NPI Information

NPI: 1457549107
Provider Name: MARIA NELISA N TAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080
Phone: (530) 527-0414
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Maria Nelisa N Tan, M.D. is a pediatrics in Red Bluff, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Maria Nelisa N Tan, M.D. NPI is 1457549107. 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:

2450 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080-356
Phone: (530) 527-0414
Fax: (530) 528-4423

The enumeration date for this NPI number is 10/9/2007 and was last updated on 11/2/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA101565CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LAB18474GMEDICAIDCALIFORNIA
2YYY20230YMEDICARE PINCALIFORNIA
3GR0089250MEDICAIDCALIFORNIA
4LAB18474FMEDICAIDCALIFORNIA
5553955MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
6RHM53955FMEDICAIDCALIFORNIA

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: 4/28/2024

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