Derek Tang, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

F4846156 Issued in CA

Practice address

1628 S Conlon Ave
West Covina, CA 91790-4426

Phone

(626) 373-4532

NPI assigned

Oct 20, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1104589746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 S CONLON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904426",
            "telephone_number": "626-373-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S CONLON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904426",
            "telephone_number": "626-373-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "DEREK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "F4846156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Tan, PA-C
• Shirley Tan, DDS
• Tanaka Audiology and Hearing, Inc.
• Linda Tanaka, M.A.
• Tanchoco Children and Adolescent Clinic, Inc.
• Hoong-Yee Tang, M.D.
• Michael Jonathan Jonhai Tang, MD
• Van Tang
• Dumrong Tangchitnob, M.D.
• Edward Pakorn Tangchitnob, M.D.

• Registered Nurse in West Covina, CA
• Providers in West Covina, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.