Anita Shuk Wai Tam, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33385 Issued in CA

Practice address

3065 S Hacienda Blvd
Hacienda Heights, CA 91745-5333

Phone

(626) 961-6205

Fax

(626) 961-6206

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Anita Tam DDS Inc

  • Dental Clinic/Center
  • Hacienda Heights, CA
  • NPI 1356358063
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124038757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BLACKSTONE RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082718",
            "telephone_number": "626-287-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S HACIENDA BLVD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455333",
            "telephone_number": "626-961-6205",
            "fax_number": "626-961-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "ANITA",
        "middle_name": "SHUK WAI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen K Tachiki, LCSW
• Shao-Chien Tai
• Taiho Wellness Center
• Kevin Takami
• Ty Kenji Takitani, D.C.
• Sara Tang-Garcia, O.D.
• Chloe Tang, MS, CCC-SLP
• Shunying Tang
• Mary Rei-CHI Tao, M.D.
• Teemed Corp

• General Practice Dentistry in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.