Organization Active NPI

Lawton W Tang MD Medical Coporation

  • Plastic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1033346978
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
LAWTON W TANG MD MEDICAL COPORATION
Doing business as
PREMIERE PLASTIC SURGERY
Practice address
125 N Raymond Ave Ste 212
Pasadena, CA 91103-4535
Phone
(626) 766-6970
Fax
(626) 403-0311
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lawton W Tang, MD
Title
Ceo
Phone
(626) 766-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

125 N Raymond Ave Ste 212
Pasadena, CA 91103-4535

Mailing address

125 N Raymond Ave Ste 212
Pasadena, CA 91103-4535
Phone (626) 766-6970

Other names 1

  • PREMIERE PLASTIC SURGERY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1033346978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N RAYMOND AVE STE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911034535",
            "telephone_number": "626-766-6970",
            "fax_number": "626-403-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N RAYMOND AVE STE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911034535",
            "telephone_number": "626-766-6970",
            "fax_number": "626-403-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON W TANG MD MEDICAL COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "LAWTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-766-6970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIERE PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PREMIERE PLASTIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.