Connie Yi Qing Tan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95020349 Issued in CA

Practice address

1800 Sullivan Ave RM 101
Daly City, CA 94015-2227

Phone

(650) 994-0459

NPI assigned

May 25, 2022

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alameda Health System 597 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hospital Hospital, Oakland, CA, CCN 050320
• Alameda Hospital Hospital, Alameda, CA, CCN 050211

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ctan142787@alamedahs.direct-ci.com

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.

• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931

  CA

  Medicare reassignment Care Compare group NPD
• American Current Care of California, a Medical Corporation

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622

  CA

  Medicare reassignment NPD
• Carrillo Medical Group Professional Corporation

  • Family Medicine Physician
  • Daly City, CA
  • NPI 1730223421

  CA

  Medicare reassignment NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1033241633
  Care Compare group
• Alameda Health System

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1083815872
  Care Compare group
• Alameda Health System

  • Psychiatric Hospital
  • San Leandro, CA
  • NPI 1083885917
  Care Compare group
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1104959089
  Care Compare group
• Alameda Health System

  • Skilled Nursing Facility
  • Alameda, CA
  • NPI 1396176160
  Care Compare group
• Alameda Health System

  • Skilled Nursing Facility
  • San Leandro, CA
  • NPI 1427259217
  Care Compare group
• Alameda Health System

  • Rehabilitation Hospital
  • San Leandro, CA
  • NPI 1518168301
  Care Compare group
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1548551997
  Care Compare group
• Alameda Health System

  • General Acute Care Hospital
  • Alameda, CA
  • NPI 1831529049
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alameda Health System

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1083815872

  Hospital

  Care Compare affiliation
• Alameda Health System

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1396764353

  Hospital

  Care Compare affiliation
• Alameda Health System

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1700087590

  Hospital

  Care Compare affiliation
• Alameda Health System

  • General Acute Care Hospital
  • Alameda, CA
  • NPI 1831529049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1679211015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 JESSICA CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552102",
            "telephone_number": "415-810-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 101",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152227",
            "telephone_number": "650-994-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CONNIE",
        "middle_name": "YI QING",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95020349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Tam
• Eisel Aquino Tam, NP
• Kam Chu Tam
• Laurel Tam, PNP
• Marie Antonette Tambot, PHARMD
• Elaine Jianying Tan, PHARM. D.
• Francis Harold Tan
• Jeannie Tan, M.D.
• Kelvin Tan, DMD
• Meiqi Tan

• All providers in Daly City, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.
• 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.