Tammam Beydoun, D.O.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

20A14487 Issued in CA

Practice address

1201 W la Veta Ave Dept of
Orange, CA 92868-4203

Phone

(714) 509-9084

NPI assigned

Jul 23, 2009

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Childrens Hospital of Orange CountyGroup PAC ID 6406944883, 70 clinicians

Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians

Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
• Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
• Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: tammam.beydoun.p1@direct.arch.nextgenshare.com
• Direct secure messaging: tbeydoun144953@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arch Health Partners, Inc

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Children's Hospital of Orange County

  dba CHOC Children's Specialists

  • Pediatrics Physician
  • Orange, CA
  • NPI 1275975104
  Medicare reassignment Care Compare group NPD
• Lambert Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Whittier, CA
  • NPI 1609826684
  Medicare reassignment Care Compare group NPD
• Pinnacle Medical Group, Inc

  dba Optum

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1376876912
  Medicare reassignment NPD
• UC Regents

  dba UCI Radiology Associates

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1346298528
  Medicare reassignment NPD
• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  CA

  Medicare reassignment NPD
• Arch Health Partners

  dba Palomar Health Medical Group

  • Surgery Physician
  • Vista, CA
  • NPI 1780222968
  NPD
• Pinnacle Medical Group, Inc

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1043255763
  NPD
• UC Regents

  dba Uci Health-Fountain Valley Imaging-Warner Ave

  • Diagnostic Radiology Physician
  • Fountain Valley, CA
  • NPI 1902177785
  NPD
• Children's Hospital

  dba Children's National Specialty Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
  • NPI 1326878349
  NPD
• Children's Hospital

  dba Children's National Medical Associates

  • Pediatrics Physician
  • Washington, DC
  • NPI 1780800128
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palomar Health

  dba Palomar Medical Center Poway

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation
• Pih Health Downey Hospital

  dba Downey Regional Medical Center

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  Care Compare affiliation
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  Care Compare affiliation
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1033349014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 AIRWAY AVE STE 139",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264614",
            "telephone_number": "949-220-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE DEPT OF",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "714-509-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "909-883-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "TAMMAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "20A14487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Beu, ACSW
• Cynthia Bevacqua, LAADC
• Beverly Hills Surgical Institute Inc
• Jennifer Anne Beverly, BCBA
• Khalil Yusuf Bey
• Ryan Beyer, MD
• Beyond the Home Physical Therapy Inc
• Talia Kaleen Bezdjian
• Nikita V. Bezrukov, M.D.
• Harshal Bharat Bhakta, MD

• Vascular & Interventional Radiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.