NPIMap

Individual provider Active NPI

James Michael Tatum, M.D.

  • Surgery Physician
  • Long Beach, CA
National Provider Identifier
1114204666
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A117856 Issued in CA
Practice address
1045 Atlantic Ave Ste 506
Long Beach, CA 90813-3414
Phone
(562) 432-9911
Fax
(562) 391-0180
NPI assigned
Nov 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X A117856 CA
Surgery Physician 208600000X A117856 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave Ste 506
Long Beach, CA 90813-3414

Mailing address

1045 Atlantic Ave Ste 1004
Long Beach, CA 90813-3423
Phone (562) 432-9911

Other practice location 1

1450 San Pablo St Ste 6200
Los Angeles, CA 90033-5331
Phone (323) 442-9062

Other practice location 2

1040 Elm Ave Ste 100
Long Beach, CA 90813-3265
Phone (562) 432-9911

Other practice location 3

1200 N State St
Cta7 D
Los Angeles, CA 90089-1001
Phone (323) 409-1000

Other identifiers 1

IdentifierTypeStateIssuer
A117856OtherCASTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811005413 CA Practitioner - General Surgery 0648585257 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Desert Trauma Surgeons IncGroup PAC ID 0547366106, 36 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
62.65

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117856CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Aug 1, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Pih Health Physicians CurrentSince Aug 1, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 21, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Oct 1, 2019 Accepting new patients
Desert Trauma Surgeons, Inc. Surgical Critical Care CurrentSince Jan 1, 2022 Accepting new patients
James a Murray, MD, Inc Surgery PastSince Aug 18, 2019 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1245 Wilshire Blvd
Ste 905
Los Angeles, CA 90017
Phone (213) 481-0584

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jamestatum@pihh.allscriptsdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1114204666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 1004",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133423",
            "telephone_number": "562-432-9911",
            "fax_number": "562-391-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 506",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133414",
            "telephone_number": "562-432-9911",
            "fax_number": "562-391-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 San Pablo St Ste 6200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335331",
            "country_code": "US",
            "telephone_number": "323-442-9062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Elm Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133265",
            "country_code": "US",
            "telephone_number": "562-432-9911",
            "fax_number": "562-391-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St",
            "address_2": "CTA7 D",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891001",
            "country_code": "US",
            "telephone_number": "323-409-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A117856",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A117856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A117856",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.