Active NPI
Edward W. Tam, M.D.
- Nuclear Medicine Physician
- Redding, CA
National Provider Identifier
1073915831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- AFE24931
- Practice address
- 810 Hallmark Dr
Redding, CA 96001-0151 - Phone
- (530) 243-4556
- NPI assigned
- Sep 23, 2014
- Last updated
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | AFE24931 | CA | Primary |
Addresses
Primary practice location
810 Hallmark Dr
Redding, CA 96001-0151
Mailing address
810 Hallmark Dr
Redding, CA 96001-0151
Phone (530) 243-4556
Other names 1
- Dr. Edward Wai-Chau Tam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AFE24931 | CA | MD | Nuclear Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1073915831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 HALLMARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960010151",
"telephone_number": "530-243-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 HALLMARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960010151",
"telephone_number": "530-243-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "EDWARD",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "AFE24931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDWARD",
"last_name": "TAM",
"middle_name": "WAI-CHAU",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.