Jingyi Tan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14057 Issued in CA

Practice address

4353 La Jolla Village Dr
Suite H20
San Diego, CA 92122-1259

Phone

(858) 622-2171

NPI assigned

Aug 24, 2010

Sex

Female

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

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1104132422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 FELSPAR ST",
            "address_2": "UNIT #33",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092828",
            "telephone_number": "678-687-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 LA JOLLA VILLAGE DR",
            "address_2": "SUITE H20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221259",
            "telephone_number": "858-622-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JINGYI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cissy M. Tan, MD
• Danielle Susana Tan, PHARMD
• Danilo T Tan, M.D.
• Evangeline Tan
• Jennifer Lim Tan
• Justin Hong-Jie Tan, M.D.
• Katelin Tan
• Katherine Co Tan, DMD
• Kenneth Tan Tan, M.D.
• Kevin Brandon Tan, DDS

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.