Individual provider Active NPI

Alisa Tinghua Tang, PA

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1154031854
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63254 Issued in CA
Practice address
9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone
(714) 845-5900
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63254 CA Primary

Addresses

Primary practice location

9131 Adams Ave
Huntington Beach, CA 92646-3462

Mailing address

4499 Shorepointe Way
San Diego, CA 92130-8636

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002472 CA Practitioner - Physician Assistant 9931647476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Family Doctors Medical GroupGroup PAC ID 4981647518, 12 clinicians

Practice addresses (Care Compare)

9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone (714) 845-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA63254CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Family Doctors Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Beach Family Doctors Medical Group Physician Assistant Past Accepting new patients

Locations

9131 Adams Ave
Huntington Beach, CA 92646
Phone (714) 845-5900

2001 Westcliff Dr
Ste 200
Newport Beach, CA 92660
Phone (714) 845-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1154031854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 SHOREPOINTE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463462",
            "telephone_number": "714-845-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "ALISA",
        "middle_name": "TINGHUA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.