Active NPI
Richard Tang-Wai, MDCM, FRCPC
- Epilepsy Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- C143221
- Practice address
- 11175 Campus Street
Coleman Pavillion, RM A1120
Loma Linda, CA 92354 - Phone
- (909) 558-8242
- NPI assigned
- Jul 11, 2016
- 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 |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | C143221 | CA | Primary |
Addresses
Primary practice location
11175 Campus Street
Coleman Pavillion, RM A1120
Loma Linda, CA 92354
Mailing address
11175 Campus Street
Coleman Pavillion, RM A1120
Loma Linda, CA 92354
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C143221 | CA | MD | Epilepsy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Clinic/Center | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Clinic/Center | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Children | Past | Accepting new patients |
| Pediatric Physician Services, Inc. | Clinic/Center | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Interoperability endpoints
- rtangwai1388537@direct.hopkinsmedicine.org
- rtangwai143244@direct.llu.edu
Organizations & group practices 7
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.
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- Apple Valley, CA
- NPI 1205009917
Clinic/Center
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
Clinic/Center
-
- Pediatric Cardiology Physician
- Beaumont, CA
- NPI 1871766121
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
Clinic/Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1124470448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS STREET",
"address_2": "COLEMAN PAVILLION, RM A1120",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS STREET",
"address_2": "COLEMAN PAVILLION, RM A1120",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG-WAI",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MDCM, FRCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "CA",
"license": "C143221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.