Andrew Milan Tannous

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A206425 Issued in CA

Practice address

4860 Y St Ste 2500
Sacramento, CA 95817-2307

Phone

(916) 734-6900

Fax

(916) 734-6666

NPI assigned

Mar 12, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1821623653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6900",
            "fax_number": "916-734-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6900",
            "fax_number": "916-734-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNOUS",
        "first_name": "ANDREW",
        "middle_name": "MILAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A206425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.tannous@cuanschutz.edu",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Regents of the University of Colorado on behalf of Univ of CO Denver",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1924 W 35th Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802112902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Nicole Tanner
• Kevin Glen Tanner, LCSW
• Maegan Tanner, AMFT, APCC
• Tyson John Tanner
• Carling Paige Tanno
• Jessica Tannous, PA-C
• Linda Tannous, OD
• Hil Tantoco
• Patricia Ann Tanzer
• Rhea Singson Tapang, PSYCH NP

• Obstetrics & Gynecology Physician in Sacramento, CA
• Providers in Sacramento, 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, 2026; 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.