Benita B Tan, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A53599 Issued in CA

Practice address

19682 Hesperian Blvd
Suite 202
Hayward, CA 94541-4752

Phone

(510) 266-0077

Fax

(510) 266-0016

NPI assigned

Apr 3, 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

Other identifiers 1

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

Locations

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.

• Benita B Tan MD Inc

  • Obstetrics & Gynecology Physician
  • Hayward, CA
  • NPI 1548344625
  NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306967609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 MONTAIR PL",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871680",
            "telephone_number": "510-487-2909",
            "fax_number": "510-477-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "SUITE 202",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-266-0077",
            "fax_number": "510-266-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "BENITA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A53599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A535990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Talajkowski, PT
• Steve P Talajkowski, PT
• Anna Talamo
• Claire Talleyrand
• Grace Yamsuan Tamayo
• Coreen Suzanne Calara Tan, PHARMD
• Linda Maw Tan, BCBA
• Neelee Tan, L.AC
• Tony Tan, PHARM.D.
• Sara Tanco

• Obstetrics & Gynecology Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.