Jesse A. Tannenbaum
MD | Pediatric Cardiology | Male
Jesse A. Tannenbaum, MD is a Santa Clara, California based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Jesse A. Tannenbaum is
710 Lawrence Expy, Santa Clara, California - 95051-5173. He can be contacted on phone at
408-851-1000.
Jesse A. Tannenbaum is a sole proprietor of his business.
NPI number (Unique professional ID) for Jesse A. Tannenbaum is
1275683070 which was assigned by NPPES on 12 Jan, 2007 and it was last updated on 08 Jul, 2007.
Jesse A. Tannenbaum license number is
G63018 for Pediatrics Pediatric Cardiology (2080P0202X) in California.
Jesse A. Tannenbaum provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Jesse A. Tannenbaum basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Jesse A. Tannenbaum |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jesse A. Tannenbaum 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 : | 710 Lawrence Expy
Santa Clara, CA, 95051-5173
United States |
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| Phone Number : | 408-851-1000 |
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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 : | 1275683070 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Jesse A. Tannenbaum are as mentioned. Primary taxonomy code for Jesse A. Tannenbaum, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | G63018 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jesse A. Tannenbaum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G630180 | 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 : | 1800 Harrison St Fl 7
Oakland, CA, 94612-3429
United States |
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| Phone Number : | 510-625-6262 |
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Business Location:
Patients can refer following map for directions to
Jesse A. Tannenbaum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.