JESSICA SUHUI TAN MD
NPI 1578713707
Allergy & Immunology in San Mateo, CA

Active since September 24, 2008PECOS EnrolledAccepts Medicare Assignment
1000 FRANKLIN PKWY, SAN MATEO, CA 94403(650) 299-2485 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2022, Feb 13, 2020 (2 updates tracked since 2020).

About Jessica Suhui Tan Md NPPES

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

JESSICA SUHUI TAN MD (NPI 1578713707) is an individual allergy & immunology provider in San Mateo, California, licensed in California (A115558) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1578713707
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameJESSICA SUHUI TANCredential: MD
Location Address1000 FRANKLIN PKWYSan Mateo, CA 94403-1922
Mailing Address1000 Franklin PkwySan Mateo, CA 94403-1922 · (650) 299-2181
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateSeptember 24, 2008
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1578713707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CA · A115558
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X · License A115558 (CA), 16139 (HI), 35096723 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 57-014949 (OH)
1000 FRANKLIN PKWY, San Mateo, CA 94403

Secondary Practice Location 1

Location 13255 Eden Ave 350 Ml 0563Cincinnati, OH 45267-0001 · Phone (513) 558-4701

Other Identifiers 1

Medicaid3130203OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Suhui Tan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224211693
PECOS Enrollment IDI20160126002568
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 18

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

Family Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pediatrics
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pharmacist
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pediatrics
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Pharmacist
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Internal Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Family Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403
Family Medicine
1000 FRANKLIN PKWY
SAN MATEO, CA 94403

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 Jessica Tan's NPI number?

The NPI number for Jessica Tan is 1578713707. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is Jessica Tan located?

Jessica Tan practices at 1000 Franklin Pkwy, San Mateo, CA 94403. The listed phone number is (650) 299-2485.

What is Jessica Tan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Jessica Tan enrolled in Medicare?

Yes. Jessica Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Tan was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.