NPPES file of Aug 9, 2026

Jacqueline Tan, PA-C

Allergy & Immunology Physician · San Jose, CA

Jacqueline Tan, PA-C is an allergy & immunology physician with a practice address in San Jose, California, and NPI 1811619349, issued on Sep 12, 2022. Check the license (California 64013, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1811619349
Name
Jacqueline Tan
Credential
PA-C
Primary taxonomy
Allergy & Immunology Physician 207K00000X
License number
64013 CA
Self-reported in NPPES; status is on the state search
Practice location
2211 Moorpark Ave Ste 130, San Jose, CA 95128
Phone
(408) 286-1707
Enumerated
Sep 12, 2022
Record last updated
Sep 26, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 2211 Moorpark Ave Ste 130

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amanda DimechPhysician Assistant1194437970

Verify Jacqueline Tan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license 64013
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $363.94

15 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 2,496 providers of this specialty with any payment received $8,321.81 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jacqueline Tan$363.94
  2. Specialty average$8,321.81

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jacqueline Tan among 444 allergy & immunology physician records in California

Jacqueline Tan, PA-C is one of 444 allergy & immunology physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than over 99% of them.

  • NPI issued2022 · over 99% of these records are older, under 1% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileNo · 63% of these records are
  • Record last updated2024 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207K00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Allergy & Immunology Physician providers in California

There are 444 allergy & immunology physician records in California.

The 8 allergy & immunology physician records with the nearest ZIP codes

  1. Judy Del Mundo, M.D.San Jose, CA 951281942203013
  2. Katharine Nelson, MDSan Jose, CA 951281497921811
  3. Andrew Lozano, MDSan Jose, CA 951241831234095
  4. Aleksandra Bokszczanin-Knosala, MDSan Jose, CA 951191669544409
  5. Mona Liu, MDSan Jose, CA 951191043755754
  6. Deepti Vellaichamy Manian, MDSan Jose, CA 951191255884672
  7. Kristi Annecone, FNPSan Jose, CA 951171316038581
  8. Alan Goldsobel, MDSan Jose, CA 951171063528321

Common questions

What is Jacqueline Tan, PA-C's NPI number?

Jacqueline Tan, PA-C's National Provider Identifier (NPI) is 1811619349, issued on Sep 12, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Jacqueline Tan, PA-C located?

The NPPES record lists a practice address at 2211 Moorpark Ave Ste 130, San Jose, CA, 95128. Phone: (408) 286-1707. Providers update this record themselves, so call before visiting.

How can I verify Jacqueline Tan, PA-C's license?

NPPES lists California license number 64013, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.