MR. TANNER MACK M.D.
NPI 1235979758
Student in an Organized Health Care Education/Training Program in Stanford, CA

Q: What is Tanner Mack's NPI number?

The NPI number for Tanner Mack is 1235979758. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Q: What is Tanner Mack'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 Tanner Mack was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 May 31, 2024

300 PASTEUR DRIVE, ROOM R309, STANFORD, CA 94305(650) 497-6371 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Tanner Mack M.d. NPPES

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

MR. TANNER MACK M.D. (NPI 1235979758) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1235979758

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. TANNER MACKCredential: M.D.

Location Address300 PASTEUR DRIVE, ROOM R309Stanford, CA 94305

Mailing Address300 Pasteur Drive, Room R309Stanford, CA 94305 · (650) 497-6371

Phone(650) 497-6371

Sole ProprietorYes

Enumeration DateMay 31, 2024

Last NPPES UpdateDecember 5, 2024

✔ NPI 1235979758 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.

300 PASTEUR DRIVE, ROOM R309, Stanford, CA 94305

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Other Providers at the Same Location NPPES

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

MR. HANG YANG M.D.

Student in an Organized Health Care Education/Training Program

300 PASTEUR DRIVE, ROOM R309
STANFORD, CA 94305

Santa Clara County (650) 497-6371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Mack's NPI number?

The NPI number for Tanner Mack is 1235979758. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Tanner Mack located?

Tanner Mack practices at 300 Pasteur Drive, Room R309, Stanford, CA 94305. The listed phone number is (650) 497-6371.

What is Tanner Mack's specialty?

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

When was this NPI record last updated?

The NPPES record for Tanner Mack was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.