JENNIFER LIM TAN
NPI 1790927887
Day Training/Habilitation Specialist in San Diego, CA

Q: What is Jennifer Tan's NPI number?

The NPI number for Jennifer Tan is 1790927887. It was assigned to this individual provider in the NPPES registry on April 3, 2009. The provider is also known as Jennifer Desembrana Lim.

Q: What is Jennifer Tan's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tan was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 03, 2009

928 BROADWAY, SAN DIEGO, CA 92101(619) 977-3716(619) 481-3075 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jennifer Lim Tan NPPES

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

JENNIFER LIM TAN (NPI 1790927887) is an individual day training/habilitation specialist in San Diego, California and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1790927887

Entity TypeIndividualFemale

Primary Taxonomy373H00000X

Provider Legal NameJENNIFER LIM TAN

Location Address928 BROADWAYSan Diego, CA 92101-5514

Mailing Address928 BroadwaySan Diego, CA 92101-5514 · (619) 977-3716 · Fax (619) 481-3075

Phone(619) 977-3716

Fax(619) 481-3075

Sole ProprietorYes

Enumeration DateApril 3, 2009

Last NPPES UpdateMarch 27, 2025

NPPES CertifiedMarch 27, 2025

✔ NPI 1790927887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

928 BROADWAY, San Diego, CA 92101

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Other Names 1

Former Name (1)Jennifer Desembrana Lim

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.

KASSANDRA MARIE BARACEROS RN

Registered Nurse