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THERESA TAN
NPI 1912424912
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since August 29, 2017
1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 94704(510) 548-9716 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2017, Aug 29, 2017 (2 updates tracked since 2017).

About Theresa Tan NPPES

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

THERESA TAN (NPI 1912424912) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1912424912
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTHERESA TAN
Location Address1918 UNIVERSITY AVE STE 2BBerkeley, CA 94704-3264
Mailing Address1918 University Ave Ste 2bBerkeley, CA 94704-3264
Phone(510) 548-9716
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateSeptember 15, 20172 updates tracked since enumeration
✔ NPI 1912424912 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.
1918 UNIVERSITY AVE STE 2B, Berkeley, CA 94704
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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.

MS. JESSICA AHMED MA
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
NATHANIEL TOPPELBERG
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
VANESSA RUIZ
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
DANIELLE CHERNICK
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 548-9716
YAEL TAMAR GOLDSTEIN
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
VANESSA RAFANAN MS
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
LAURYN MINETA
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 548-9716
JENNA POLIDORO
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262

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 Theresa Tan's NPI number?

The NPI number for Theresa Tan is 1912424912. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Theresa Tan located?

Theresa Tan practices at 1918 University Ave Ste 2B, Berkeley, CA 94704. The listed phone number is (510) 548-9716.

What is Theresa Tan'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 Theresa Tan was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.