Individual provider Active NPI

Roland Tam, MD

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1154403681
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A108022 Issued in CA
Practice address
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340
Phone
(206) 543-0065
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A108022 CA Primary

Addresses

Primary practice location

1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340

Mailing address

23033 Lyons Ave
Suite 5
Newhall, CA 91321-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091021000710 CA Practitioner - Anesthesiology 2567509631 Reassigns benefits to 5 organizations
I20221031002941 OR Practitioner - Anesthesiology 2567509631 Reassigns benefits to 2 organizations
I20241210004804 AZ Practitioner - Anesthesiology 2567509631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 299-9906

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

24451 Health Ctr Dr
Laguna Hills, CA 92653-3689
Phone (949) 837-4500

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

26357 McBean Pkwy
Suite 100
Santa Clarita, CA 91355-4489
Phone (661) 799-8300

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-5437

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Sep 19, 2022 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 7, 2024 Accepting new patients
Beaver Medical Group P C Anesthesiology CurrentSince Oct 29, 2021 Accepting new patients
Beaver Medical Group P C CurrentSince Oct 29, 2021 Accepting new patients
Salem Health Current Accepting new patients
Salem Health CurrentSince Sep 19, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Jan 24, 2026 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 7, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
City of Hope Medical Foundation Anesthesiology CurrentSince Jun 26, 2023 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Kingman Healthcare, Inc Past Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

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

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

707 SW Washington St
Ste 700
Portland, OR 97205

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1154403681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23033 LYONS AVE",
            "address_2": "SUITE 5",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956340",
            "telephone_number": "206-543-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A108022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.