JONATHAN TAM (NPI# 1619133600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619133600 |
| Entity Type | Individual |
| Full Name | JONATHAN TAM |
| Credential | MD |
| Practice Address |
4650 W Sunset Blvd Ms#75 Los Angeles CA 90027-6062 |
| Practice Telephone | 3233612501 |
| Practice Fax Number | 3233611191 |
| Mailing Telephone | 3233612501 |
| Mailing Fax Number | 3233611191 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A125923 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 54495 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125-052818 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 125-052818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306064 | Jonathan Tam | Physical Therapist | 736 Silver Valley Trl, Walnut, CA 91789-2086 | 2020-08-12 |
| 1639455025 | Jonathan Tam | Pharmacist | 11555 Dublin Canyon Rd, Pleasanton, CA 94588-2815 | 2011-10-29 |
| 1013942952 | Jonathan Nei-kim Tam | Obstetrics & Gynecology | 105 N Hill Ave Ste 203, Pasadena, CA 91106-1934 | 2006-07-11 |
| 1053942292 | Jonathan Tam | Pharmacist | 21700 Kingsland Blvd Ste 105, Katy, TX 77450-2546 | 2020-01-27 |
| 1841853397 | Jonathan Tam | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2019-04-19 |
| 1245725571 | Jonathan Tam | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-06-28 |
| 1346798261 | Jonathan Joseph Tam | Physical Therapist | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 | 2016-09-20 |
| Street Address |
4650 W SUNSET BLVD MS#75 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1811596810 | Samih Samaha | Social Worker | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-21 |
| 1437756988 | Amanda Ruth Mendelis | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-07 |
| 1124638119 | Hayden Mensah Mbroh | Rehabilitation Counselor | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-04 |
| 1619587854 | Allyssa Marie Asperin Cayago | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-03 |
| 1134739592 | Alison Coombs | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-07-31 |
| 1679190482 | Jearelly Pinedo | Registered Nurse | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-26 |
| 1124644901 | Corey Hacker | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-17 |
| 1720602667 | Bhavna Shah | Physical Therapist | 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 | 2020-06-06 |
| 1023632528 | Bethany L Burdick | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962703595 | Warren Richards | Allergy & Immunology | 10110 Empyrean Way, Unit 103, Los Angeles, CA 90067-3829 | 2010-11-12 |
| 1255353629 | Ricardo Antonio Tan | Allergy & Immunology | 1950 Sawtelle Blvd Ste 138, Los Angeles, CA 90025-7014 | 2006-07-24 |
| 1578742318 | Lawrence S Mihalas | Allergy & Immunology | 11645 Wilshire Blvd, 988, Los Angeles, CA 90025-1708 | 2007-10-29 |
| 1568689594 | Maxine Baum | Allergy & Immunology | 8631 W 3rd St, 925e, Los Angeles, CA 90048-5901 | 2007-04-19 |
| 1952423659 | Douglas Barrett Tamkin | Allergy & Immunology | 6200 Wilshire Blvd, Suite 1206, Los Angeles, CA 90048 | 2007-04-04 |
| 1720108525 | Allen H Green | Allergy & Immunology | 11860 Wilshire Blvd, #200, Los Angeles, CA 90025-6613 | 2007-03-29 |
| 1043379662 | Renata G. Lubens | Allergy & Immunology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-08 |
| 1750440343 | Joseph G. Dizon | Allergy & Immunology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-08 |
| 1699834200 | Bruce J. Goldberg | Allergy & Immunology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-08 |
| 1184791063 | Michael S. Kaplan | Allergy & Immunology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on JONATHAN TAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.