Individual
DR. JAMES GREGORY TAPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 W 3RD AVE, SUITE 602, SAN MATEO, CA 94402-7112
(650) 347-5065
(650) 348-3425
Mailing address
20 W 3RD AVE, SUITE 602, SAN MATEO, CA 94402-7112
(650) 347-5065
(650) 348-3425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A23884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D078482
CLIA
—
01
—
94-3061735
FEDERAL TAX ID
—
01
—
A23884
MEDICAL LICENSE
CA
05
—
GR0063440
—
CA
Enumeration date
09/12/2005
Last updated
03/07/2023
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