Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dexter Tan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629829452

Dexter Tan, DO is a Student in an Organized Health Care Education/Training Program in Stockton, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 547-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629829452
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

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