Sheryl Qianwen Tan

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

1061900 Issued in CA

Practice address

1520 Stockton St
San Francisco, CA 94133-3354

Phone

(415) 391-9685

NPI assigned

May 13, 2015

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

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1518911304
  Medicare reassignment Care Compare group NPD
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1457658734
  NPD
• North East Medical Services

  • Community/Retail Pharmacy
  • San Jose, CA
  • NPI 1902616279
  NPD

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1417335100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SAINT FRANCIS BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152152",
            "telephone_number": "415-391-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 STOCKTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333354",
            "telephone_number": "415-391-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "SHERYL",
        "middle_name": "QIANWEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "1061900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phiona Riqing Tan, FNP
• Rosanna Tan
• Rose Tan
• Sally G. Tan, DMD
• Shao Mei Tan
• Shirley T. Tan
• Siew Tan Sr.
• Sydney Tan, PSY.D.
• Tiffany Elizabeth Tan
• Tina Tan, PHARM.D.

• Nutrition Education Nutritionist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.