Richard M Tan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56298 Issued in CA

Practice address

2100 Peabody Rd.
Vacaville, CA 95696-4000

Phone

(707) 451-0182

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Vacaville, CA
  • NPI 1124648712
  NPD (past)
• State of California Prison Industry Authority

  • Eyewear Supplier
  • Vacaville, CA
  • NPI 1588871669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053439547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SIERRA MILLS LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PEABODY RD.",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956964000",
            "telephone_number": "707-451-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Olen Taggart, DDS
• Jacqueline C Taillant
• Ishaan Talwar, DDS
• Tam Chiropractic Centers, Inc.
• Alex Tam, D.C.
• Tara Renee Tanaka, PH.D.
• Thuong Tang, MSW
• Tanika Ross
• Charmaine Tanjuakio
• Valery D Tarasenko, M.D.

• Internal Medicine Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.