ALEXANDRA TAN BOURDILLON MD
NPI 1730839762
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 24, 2022PECOS Enrolled

2233 POST ST FL 3, SAN FRANCISCO, CA 94115(415) 476-4952 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alexandra Tan Bourdillon Md NPPES

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

ALEXANDRA TAN BOURDILLON MD (NPI 1730839762) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730839762

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRA TAN BOURDILLONCredential: MD

Location Address2233 POST ST FL 3San Francisco, CA 94115-3470

Mailing Address22362 Regnart RdCupertino, CA 95014-4825 · (408) 516-7108

Phone(415) 476-4952

Sole ProprietorYes

Enumeration DateMarch 24, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1730839762 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.

2233 POST ST FL 3, San Francisco, CA 94115

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Tan Bourdillon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.