Nanette Tangkeko

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99061 Issued in CA

Practice address

4000 W Metropolitan Dr
Orange, CA 92868-3504

Phone

(201) 303-0916

NPI assigned

Sep 30, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Open Mind Mental Health Physicians IncGroup PAC ID 2264975580, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Mind Mental Health Physicians, Inc.

  dba Open Mind Health

  • Clinical Social Worker
  • La Jolla, CA
  • NPI 1093454423

  Mental Health

  Medicare reassignment Care Compare group NPD
• Andrea Davis, PH.D., Clinical Psychology, Inc.

  dba Greenhouse Therapy Center

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1407159619

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1184908758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "347",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W METROPOLITAN DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683504",
            "telephone_number": "201-303-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGKEKO",
        "first_name": "NANETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Pham Tang
• Regina Tang
• Taylor Tang, M.D.
• Tony Tang
• Zoey Shinyi Tang
• Joseph Tannenbaum, M.D.
• Tia Macy Tannenbaum
• Lydia Henry Tanner, MD
• Ekamol Tantisattamo, MD
• Ruth Avelyn Tantoco

• Marriage & Family Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.