CATHERINE TAN
NPI 1689038465
Dentist - General Practice in San Diego, CA

Active since April 07, 2016
4305 UNIVERSITY AVE, SAN DIEGO, CA 92105(619) 501-1235 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Catherine Tan NPPES

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

CATHERINE TAN (NPI 1689038465) is an individual general practice provider in San Diego, California, licensed in California (101790) and active in the NPI registry since April 2016. She maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1689038465
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCATHERINE TAN
Location Address4305 UNIVERSITY AVESan Diego, CA 92105-1645
Mailing Address4305 University Ave Ste 150San Diego, CA 92105-1690
Sole ProprietorYes
Enumeration DateApril 7, 2016
Last NPPES UpdateMarch 21, 2019
NPI 1689038465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 101790
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4305 UNIVERSITY AVE, San Diego, CA 92105

Secondary Practice Location 1

Location 1530 S Wakara WaySalt Lake City, UT 84108-1213 · Phone (801) 587-6453

Other Providers at the Same Location NPPES 15

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

Community Health Worker
4305 UNIVERSITY AVE
SAN DIEGO, CA 92105
Nurse Practitioner
4305 UNIVERSITY AVE, STE 150
SAN DIEGO, CA 92105
Registered Nurse
4305 UNIVERSITY AVE, STE 150
SAN DIEGO, CA 92105
Non-emergency Medical Transport (VAN)
4305 UNIVERSITY AVE
SAN DIEGO, CA 92105
Student in an Organized Health Care Education/Training Program
4305 UNIVERSITY AVE
SAN DIEGO, CA 92105
Case Management
4305 UNIVERSITY AVE, 410
SAN DIEGO, CA 92105
Assistant Behavior Analyst
4305 UNIVERSITY AVE, SUITE 410
SAN DIEGO, CA 92105
Nurse Practitioner
4305 UNIVERSITY AVE, STE 150
SAN DIEGO, CA 92105

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 Catherine Tan's NPI number?

The NPI number for Catherine Tan is 1689038465. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Catherine Tan located?

Catherine Tan practices at 4305 University Ave, San Diego, CA 92105. The listed phone number is (619) 501-1235.

What is Catherine Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Catherine Tan was last updated on March 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.