IndividualActive
Sam Tan, D.M.D.
NPI 1194921072 · Dentist · San Leandro, CA
Sam Tan, D.M.D. is a Dentist provider in San Leandro, CA (NPI 1194921072).
Provider details
- NPI number
- 1194921072
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 47570 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
425 Estudillo Ave
Suite C
San Leandro, CA 94577-4961
Phone: (510) 483-1543
Fax: (510) 483-3180
Street-level locationGet directions
Mailing address
425 Estudillo Ave
San Leandro, CA 94577-4961
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Sam Tan's NPI number?
- Sam Tan's National Provider Identifier (NPI) is 1194921072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Tan's specialty?
- Sam Tan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Sam Tan located?
- Sam Tan's practice location on file with NPPES is 425 Estudillo Ave, San Leandro, CA 94577-4961.
- What is Sam Tan's phone number?
- The practice phone number listed in the NPPES registry for Sam Tan is (510) 483-1543.
- Is Sam Tan's NPI active?
- Yes — Sam Tan's NPI (1194921072) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.