Individual provider Active NPI

Edward Yi-Teh Tang, M.D.

  • Orthopaedic Surgery Physician
  • Martinez, CA
National Provider Identifier
1114124369
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A98847 Issued in CA
Practice address
2500 Alhambra Ave
Contra Costa Regional Medical Center
Martinez, CA 94553-3156
Phone
(925) 370-5200
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A98847 CA Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X D72737 MD
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 257822 NY

Addresses

Primary practice location

2500 Alhambra Ave
Contra Costa Regional Medical Center
Martinez, CA 94553-3156

Mailing address

2500 Alhambra Ave
Contra Costa Regional Medical Center
Martinez, CA 94553-3156
Phone (925) 370-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000215 CA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 5597916775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D72737MDMDOrthopaedic Foot and Ankle Surgery Physician
257822NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Apr 15, 2013 Accepting new patients
Washington Township Medical Foundation CurrentSince Jan 30, 2023 Accepting new patients
University of California SFGH Medical Group Orthopaedic Surgery CurrentSince Apr 15, 2013 Accepting new patients
Washington Township Medical Foundation Sports Medicine CurrentSince Jan 30, 2023 Accepting new patients
Webster Orthopaedic Medical Group, a Professional Corporation Orthopaedic Surgery Past Accepting new patients

Locations

38690 Stivers St
Ste A
Fremont, CA 94536
Phone (510) 248-1040

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1001 Potrero Ave
Bldg 53RD
San Francisco, CA 94110
Phone (628) 206-8265

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1114124369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "address_2": "CONTRA COSTA REGIONAL MEDICAL CENTER",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-370-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "address_2": "CONTRA COSTA REGIONAL MEDICAL CENTER",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-370-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "EDWARD",
        "middle_name": "YI-TEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A98847",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MD",
            "license": "D72737",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "257822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.