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ANDREW NOVEL TEBOW DPM
NPI 1699568592
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since May 23, 2025
3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Novel Tebow Dpm NPPES

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

ANDREW NOVEL TEBOW DPM (NPI 1699568592) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1699568592
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW NOVEL TEBOWCredential: DPM
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address2110 River Oaks CirAbilene, TX 79605-4819 · (325) 370-2191
Phone(510) 752-1000
Sole ProprietorNo
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1699568592 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.
3600 BROADWAY, Oakland, CA 94611
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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.

OSAMA MOHAMED EL-SAYED MD, PHD
Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
TRAM KHUONG
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-4200
CHRISTIAN F. SCHMUTZ MD
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
CHRISTOPHER AARON HUDSON RT
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-8886
ADAM BUIE
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. JUSTIN B FONG MD
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
JASMINE THAI LU MD
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
MARGARET COSGROVE DPT
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000

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 Andrew Tebow's NPI number?

The NPI number for Andrew Tebow is 1699568592. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Andrew Tebow located?

Andrew Tebow practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Andrew Tebow'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 Andrew Tebow was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.