Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457553885 Individual Practitioner Male Practitioner

Michael Tannenbaum , PA

Physician Assistant • Modesto, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michael Tannenbaum, PA is a certified Physician Assistant practicing in Modesto, CA. With approximately 20 years of clinical experience since completing medical education in 2006, Michael Tannenbaum delivers high-quality medical care to the local community at 1808 SCENIC DR.

Michael Tannenbaum is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1808 Scenic Dr
Apt 107

Modesto, CA 95355

Telephone 5104098966

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Modesto, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +8.7 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tannenbaum (20 Years) 20 Yrs
Modesto Specialty Average (11.3 Years) 11.3 Yrs

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA01230

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3600 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3620 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2009

Registered at 1808 SCENIC DR, APT 107, MODESTO, CA 95355 (Tel: 5104098966)

📍
Updated Business Mailing Address June 12, 2009

Registered at 1808 SCENIC DR, APT 107, MODESTO, CA 953554947 (Tel: 5104098966)

👤
Provider Name / Credentials Updated June 12, 2009

Recorded as MICHAEL TANNENBAUM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2009

Physician Assistant (License #PA01230 in OR)

🟢
Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Tannenbaum. Be the first to share your experience!

Sign in to leave a review for Michael Tannenbaum

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457553885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: June 12, 2009
Sole Proprietor: No

Mailing Address

1808 Scenic Dr, Apt 107

Modesto, CA 953554947

Phone: 5104098966

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.