Jill Tanner, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52731 Issued in CA

Practice address

99 N la Cienega Blvd
Suite 203
Beverly Hills, CA 90211-2222

Phone

(310) 289-9955

NPI assigned

Aug 15, 2015

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtanner208837@direct.cshs.org

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.

• Westside Medical Associates of Los Angeles

  • Specialist
  • Beverly Hills, CA
  • NPI 1497742688
  NPD

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439596800000",
    "number": "1528434313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 MICHELTORENA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392531",
            "telephone_number": "818-371-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-289-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JILL",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heide Jean Ramirez Tan, PT, DPT
• Derrick Tang, D.C.
• Tannenbaum Chiropractic Inc
• David Emil Tannenbaum, D.C.
• Adam Tanner-Hill, PT
• Lindsay Tanner
• James Tanouye
• Julie Anna Tantau, MA
• Nicha Tantipinichwong, PHARM D
• Iris Tanz, L.AC

• Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.