JAIME TAN MD
NPI 1194338764
Student in an Organized Health Care Education/Training Program in Roseville, CA

Q: What is Jaime Tan's NPI number?

The NPI number for Jaime Tan is 1194338764. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Q: What is Jaime Tan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Tan was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2020PECOS Enrolled

1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1000 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, Aug 25, 2020 (2 updates tracked since 2020).

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About Jaime Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIME TAN MD (NPI 1194338764) is an individual student in an organized health care education/training program in Roseville, California and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194338764

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAIME TANCredential: MD

Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037

Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037 · (916) 781-1000

Phone(916) 781-1000

Sole ProprietorNo

Enumeration DateAugust 25, 2020

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1194338764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL PLAZA DR, Roseville, CA 95661

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaime Tan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IQBAL SINGH GREWAL MD

Student in an Organized Health Care Education/Training Program