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

Individual provider Allergy & Immunology Physician · NPI 1811619349

Jacqueline Tan, PA-C is an Allergy & Immunology Physician in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2211 Moorpark Ave Ste 130
San Jose, CA 95128-2655
Phone: (408) 286-1707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 64013 (CA)

Record details

NPI number1811619349
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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