Individual provider Active NPI

Janice Yat Mann Tham, NP

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1194195719
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95003335 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(858) 657-7100
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95003335 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

7415 N Cedar Ave
Suite 102
Fresno, CA 93720-3834
Phone (559) 435-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151119000636 CA Practitioner - Nurse Practitioner 0749580926 Reassigns benefits to 7 organizations
I20240905003198 OR Practitioner - Nurse Practitioner 0749580926 Reassigns benefits to 2 organizations
I20250827004189 TX Practitioner - Nurse Practitioner 0749580926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Intensivists of Washington PLLCGroup PAC ID 5395018808, 81 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5000

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95003335CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Intensivists PC Current Accepting new patients
Regents of the University of California Nurse Practitioner Current Accepting new patients
Regents of the University of California Nurse Practitioner CurrentSince Jun 24, 2019 Accepting new patients
Cep America - Intensivists PC CurrentSince Dec 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2019 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Jun 22, 2024 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Cep America - Intensivists PC CurrentSince Dec 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Regents of the University of California CurrentSince Oct 30, 2017 Accepting new patients
Sound Physicians Intensivists of Washington PLLC Nurse Practitioner CurrentSince Jun 22, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Jun 15, 2025 Accepting new patients
Regents of the University of California CurrentSince Oct 30, 2017 Accepting new patients
Inpatient Specialists of California, PC CurrentSince May 26, 2024 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Oct 30, 2017 Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

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

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

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

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: jtham266069@direct.llu.edu

Organizations & group practices 15

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 15

Hospital & facility affiliations 1

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1194195719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "858-657-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7415 N Cedar Ave",
            "address_2": "SUITE 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203834",
            "country_code": "US",
            "telephone_number": "559-435-6600",
            "fax_number": "559-435-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAM",
        "first_name": "JANICE",
        "middle_name": "YAT MANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95003335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.