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SALLY TAN NP
NPI 1568244200
Nurse Practitioner in Folsom, CA

Active since October 17, 2023
1580 CREEKSIDE DR STE 200, FOLSOM, CA 95630(916) 924-0340 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 6, 2026, Mar 5, 2024, Oct 17, 2023 (3 updates tracked since 2023).

About Sally Tan Np NPPES

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

SALLY TAN NP (NPI 1568244200) is an individual nurse practitioner in Folsom, California, licensed in California (95026988) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1568244200
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSALLY TANCredential: NP
Location Address1580 CREEKSIDE DR STE 200Folsom, CA 95630-3888
Mailing Address1580 Creekside Dr Ste 200Folsom, CA 95630-3888 · (916) 924-0340
Phone(916) 924-0340
Sole ProprietorNo
Enumeration DateOctober 17, 2023
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1568244200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95026988
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1580 CREEKSIDE DR STE 200, Folsom, CA 95630
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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.

QUENLYN J. LARSON C.N.P. DNP
Nurse Practitioner (Pediatrics)
1580 CREEKSIDE DR STE 200
FOLSOM, CA 95630
Sacramento County (916) 924-9337

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 Sally Tan's NPI number?

The NPI number for Sally Tan is 1568244200. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Sally Tan located?

Sally Tan practices at 1580 Creekside Dr Ste 200, Folsom, CA 95630. The listed phone number is (916) 924-0340.

What is Sally Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Sally Tan was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.