Tan, Stanley Andrew

Tan, Stanley Andrew is an sole proprietor health care provider with primary practice located at 20642 John Dr , Castro Valley CA 94546-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Tan, Stanley Andrew can be contacted via phone (510) 785-5000.

Contact Information

Primary practice address
20642 John Dr Castro Valley CA 94546-5103
Phone: (510) 785-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G23082 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G23082 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2003-00713 North Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME94328 Florida

Profile Details

NPI number 1396747721
LBN Legal business name Tan, Stanley Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Oct 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396747721 NPPES
Florida Other V7918 HFMG
Florida MEDICAID 89133MT HFMG
Florida MEDICAID PENDING HFMG

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