MARIA NELISA N TAN M.D.
NPI 1457549107
Pediatrics in Red Bluff, CA

Q: What is Maria Nelisa Tan's NPI number?

The NPI number for Maria Nelisa Tan is 1457549107. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Q: What is Maria Nelisa Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Nelisa Tan was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 09, 2007

2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080(530) 527-0414(530) 528-4423 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maria Nelisa N Tan M.d. NPPES

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

MARIA NELISA N TAN M.D. (NPI 1457549107) is an individual pediatrics provider in Red Bluff, California, licensed in California (A101565) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1457549107

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARIA NELISA N TANCredential: M.D.

Location Address2450 SISTER MARY COLUMBA DRRed Bluff, CA 96080-4356

Mailing Address2450 Sister Mary Columba DrRed Bluff, CA 96080-4356 · (530) 527-0414 · Fax (530) 528-4423

Phone(530) 527-0414

Fax(530) 528-4423

Sole ProprietorNo

Enumeration DateOctober 9, 2007

Last NPPES UpdateNovember 2, 2007

✔ NPI 1457549107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A101565

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2450 SISTER MARY COLUMBA DR, Red Bluff, CA 96080

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Other Identifiers 6

MedicaidLAB18474GCA

Medicare PINYYY20230YCA

MedicaidGR0089250CA

MedicaidLAB18474FCA

Medicare OSCAR/certification553955CA

MedicaidRHM53955FCA

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.

LASSEN MEDICAL GROUP INC

Family Medicine