Organization Active NPI

Connie T Tan, M D a Professional Corporation

  • Obstetrics & Gynecology Physician
  • Mountain View, CA
National Provider Identifier
1922390657
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G634870 Issued in CA
Legal business name
CONNIE T TAN, M D A PROFESSIONAL CORPORATION
Practice address
2485 Hospital Dr
Suite 251
Mountain View, CA 94040-4101
Phone
(650) 988-7688
Fax
(650) 988-7638
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Connie Teng Tan, M.D.
Title
Ceo
Phone
(650) 988-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G634870 CA Primary

Addresses

Primary practice location

2485 Hospital Dr
Suite 251
Mountain View, CA 94040-4101

Mailing address

2485 Hospital Dr
Suite 251
Mountain View, CA 94040-4101
Phone (650) 988-7688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1922390657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR",
            "address_2": "SUITE 251",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404101",
            "telephone_number": "650-988-7688",
            "fax_number": "650-988-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR",
            "address_2": "SUITE 251",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404101",
            "telephone_number": "650-988-7688",
            "fax_number": "650-988-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE T TAN, M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "TENG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-988-7688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G634870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.