J Lane Tanner
MD | Developmental - Behavioral Pediatrics | Male
J Lane Tanner, MD is a Oakland, California based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of J Lane Tanner is
747 52nd St, Chrco Child Development Center, Oakland, California - 94609-1809. He can be contacted on phone at
510-428-3351 and fax number 510-601-3912.
J Lane Tanner is a sole proprietor of his business.
NPI number (Unique professional ID) for J Lane Tanner is
1235206350 which was assigned by NPPES on 30 Nov, 2006 and it was last updated on 08 Jul, 2007.
J Lane Tanner license number is
G28611 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in California.
J Lane Tanner is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
J Lane Tanner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
|---|
| Provider Name : | J Lane Tanner |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
J Lane Tanner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 747 52nd St, Chrco Child Development Center
Oakland, CA, 94609-1809
United States |
|---|
| Phone Number : | 510-428-3351 |
|---|
| Fax Number : | 510-601-3912 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235206350 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 30 Nov, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for J Lane Tanner are as mentioned. Primary taxonomy code for J Lane Tanner, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | G28611 | CA |
Legacy Identifiers:
Other legacy medical identifiers of J Lane Tanner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0095850 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 747 52nd St, Chrco Child Development Center
Oakland, CA, 94609-1809
United States |
|---|
| Phone Number : | 510-428-3351 |
|---|
| Fax Number : | 510-601-3912 |
|---|
Business Location:
Patients can refer following map for directions to
J Lane Tanner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.