Alfred Euaik Tan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48933 Issued in CA

Practice address

11030 Bollinger Canyon Rd
Suite240
San Ramon, CA 94582-4874

Phone

(925) 736-2200

Fax

(925) 736-6100

NPI assigned

Apr 10, 2006

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

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

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.

• Pleasanton Family Medical Center, Inc.

  • Clinic/Center
  • San Ramon, CA
  • NPI 1114980612
  NPD Authorized official

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337472000000",
    "number": "1962465955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 BOLLINGER CANYON RD",
            "address_2": "SUITE 240",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824874",
            "telephone_number": "925-736-2200",
            "fax_number": "925-736-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 BOLLINGER CANYON RD",
            "address_2": "SUITE240",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824874",
            "telephone_number": "925-736-2200",
            "fax_number": "925-736-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ALFRED",
        "middle_name": "EUAIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synchealth Management Corporation
• Laura Naslund Taggart
• Alice H Tai, DDS
• Chun Yan Tai, PHARM.D.
• Mario Tamariz
• Ethan Tanaka
• Heng K Tang, M.D.
• Jasmyn Tang
• Kiet Tang
• Sonya N. Taravella, P.A.

• Family Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2012; 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.