JENNIFER TAN D.O.
NPI 1750735833
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
401 PARADISE RD STE E, MODESTO, CA 95351(209) 576-3523 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Tan D.o. NPPES

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

JENNIFER TAN D.O. (NPI 1750735833) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2016).

NPPES Registry Identity

NPI1750735833
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER TANCredential: D.O.
Location Address401 PARADISE RD STE EModesto, CA 95351-3163
Mailing Address401 Paradise Rd Ste EModesto, CA 95351-3163
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2016
Enumeration DateApril 14, 2016
Last NPPES UpdateFebruary 11, 2022
NPI 1750735833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

401 PARADISE RD STE E, Modesto, CA 95351

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

Jennifer Tan D.o. 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 ID9335534189
PECOS Enrollment IDI20220315001045
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 16

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

Family Medicine
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD STE E
MODESTO, CA 95351

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 Jennifer Tan's NPI number?

The NPI number for Jennifer Tan is 1750735833. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Jennifer Tan located?

Jennifer Tan practices at 401 Paradise Rd Ste E, Modesto, CA 95351. The listed phone number is (209) 576-3523.

What is Jennifer Tan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Tan enrolled in Medicare?

Yes. Jennifer 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 Jennifer Tan was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.