Rae Angela Tan, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

819325 Issued in CA

Practice address

4031 W Noble Ave
Visalia, CA 93277-1631

Phone

(559) 623-0107

Fax

(559) 733-6992

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

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.

• Tulare County

  • Home Health Agency
  • Visalia, CA
  • NPI 1053690875
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1174953772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771631",
            "telephone_number": "559-623-0107",
            "fax_number": "559-733-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771631",
            "telephone_number": "559-623-0107",
            "fax_number": "559-733-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RAE ANGELA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "819325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha P Tamayo-Campos
• Jose Manuel Tamez, LMFT
• Briana Tan, PA-C
• Carolyn Ong Tan, DDS
• Julia Tan, MD
• Timothy Lang Tan, M.D.
• Seng Leang Tang-Hignojoz, LMFT
• Michael Tang, MD
• Yvette M Tanguma
• Judah Michael Tanner, SCHOOL PSYCHOLOGIST

• Registered Nurse in Visalia, CA
• Providers in Visalia, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.