Annie Enli Tan, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 10188 Issued in CA

Practice address

1441 Franklin St Ste 203
Oakland, CA 94612-3219

Phone

(510) 420-5787

Fax

(510) 420-5787

NPI assigned

Apr 6, 2007

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

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255454351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15103 SHINING STAR LN",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791994",
            "telephone_number": "510-483-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FRANKLIN ST STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123219",
            "telephone_number": "510-420-5787",
            "fax_number": "510-420-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ANNIE",
        "middle_name": "ENLI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary William Tamkin, MD
• Michael J Tamlin, M. A.
• Natalie Louise Tammen, PA-C
• Tully Nicole Tampakes, ASW
• Andrew Tan
• Claudette Lynn Tan, M.D.
• Clinson B. Tan, MD
• Connie Tan
• Evelyn Yi Ling Tan
• Jiayu Tan

• Acupuncturist in Oakland, CA
• Providers in Oakland, CA by specialty
• Acupuncturist 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.