Mr Jeremiah Sean Tan, CRNA | |
1150 Veterans Blvd, Redwood City, CA 94063-2037 | |
(650) 299-2000 | |
Not Available |
Full Name | Mr Jeremiah Sean Tan |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1150 Veterans Blvd, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831438522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA 4346 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremiah Sean Tan, CRNA 2681 Driftwood St, Hayward, CA 94545-1304 Ph: (510) 468-1882 | Mr Jeremiah Sean Tan, CRNA 1150 Veterans Blvd, Redwood City, CA 94063-2037 Ph: (650) 299-2000 |
Mr. John Soliz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3519 Fax: 650-299-2626 | |
Sandy L Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3534 | |
Cameron Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Mr. Daniel Loh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Anesthesia Dept., Redwood City, CA 94063 Phone: 650-299-3142 Fax: 650-299-2626 | |
Mrs. Cecilia Marie Chase, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3142 | |
Janice Mccollough Hudson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3142 | |
Diane M Washington, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3142 |