Jeany Tay, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G76038 Issued in CA

Practice address

1200 El Camino Real
South San Francisco, CA 94080-3208

Phone

(650) 742-2000

NPI assigned

Nov 1, 2006

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

Other identifiers 1

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 22

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1023369881

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1083351530

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • Daly City, CA
  • NPI 1104103001

  Corporate Director

  CMS ownership
• North East Medical Services

  • Acupuncturist
  • San Francisco, CA
  • NPI 1154984508

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1205693827

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1326279852

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1336229194

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1407490931

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1447810734

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1457658734

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1518911304

  Corporate Director

  CMS ownership
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1548697444

  Corporate Director

  CMS ownership

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1598843104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HARRISON ST FL 7",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123466",
            "telephone_number": "510-625-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EL CAMINO REAL",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803208",
            "telephone_number": "650-742-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "JEANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G76038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G760380",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1200 El Camino Real",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940803208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet Repane Tanega, DMD
• Angie Tang
• Larry Taormina, PH. D
• Tara Manor Inc.
• Annette Taube, NP
• Yumi Taylor Taylor, MD
• Teamm Tranz, Inc.
• Alexandra Tee, MD
• Carla Michelle Lim Teehankee
• Debora Martha Teixeira, PA-C

• Internal Medicine Physician in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.