NPIMap

Individual provider Active NPI

Alan K Tam, NP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1154960334
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013093 Issued in CA
Practice address
950 Stockton St Ste 202
San Francisco, CA 94108-1619
Phone
(650) 718-5763
NPI assigned
Jan 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013093 CA Primary

Addresses

Primary practice location

950 Stockton St Ste 202
San Francisco, CA 94108-1619

Mailing address

950 Stockton St Ste 202
San Francisco, CA 94108-1619
Phone (650) 718-5763

Other practice location 1

1828 El Camino Real Ste 406
Burlingame, CA 94010-3115
Phone (650) 718-5761

Other identifiers 1

IdentifierTypeStateIssuer
95013093OtherCACALIFORNIA FAMILY NURSE PRACTITIONER

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
I20210108001852 CA Practitioner - Nurse Practitioner 0143633206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Hospital & facility affiliations

  • Anx Home Healthcare Home health agency, Burlingame, CA, CCN 059071
  • San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013093CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince May 14, 2023 Accepting new patients
County of San Mateo CurrentSince May 14, 2023 Accepting new patients
Simon Lee M D a Professional Corp CurrentSince Jan 4, 2021 Accepting new patients
County of San Mateo CurrentSince May 14, 2023 Accepting new patients

Locations

1828 El Camino Real
Ste 406
Burlingame, CA 94010
Phone (650) 692-1388

950 Stockton St
Ste 202
San Francisco, CA 94108
Phone (415) 827-3323

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: atam18909@smch.direct-ci.com
  • Direct secure messaging: alan.tam@11050379051012.direct.elationemr.com

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1154960334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081619",
            "telephone_number": "650-718-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081619",
            "telephone_number": "650-718-5763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 El Camino Real Ste 406",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103115",
            "country_code": "US",
            "telephone_number": "650-718-5761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "ALAN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA FAMILY NURSE PRACTITIONER",
            "identifier": "95013093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.