Active NPI
Tin Tun MD Inc
- Internal Medicine Physician
- Hemet, CA
National Provider Identifier
1205964376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51476
- Legal business name
- TIN TUN MD INC
- Practice address
- 1031 E Latham Ave
Suite 1
Hemet, CA 92543-4425 - Phone
- (951) 929-3987
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tin Tun, MD
- Title
- President
- Phone
- (951) 929-3987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51476 | CA | Primary |
Addresses
Primary practice location
1031 E Latham Ave
Suite 1
Hemet, CA 92543-4425
Mailing address
1031 E Latham Ave
Suite 1
Hemet, CA 92543-4425
Phone (951) 929-3987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A514760 | Medicaid | CA | |
| 110236729 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1031 E Latham Ave
Ste 1
Hemet, CA 92543
Phone (951) 306-9888
4020 W Florida Ave
Ste T
Hemet, CA 92545
Phone (909) 929-3987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1205964376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 E LATHAM AVE",
"address_2": "SUITE 1",
"city": "HEMET",
"state": "CA",
"postal_code": "925434425",
"telephone_number": "951-929-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 E LATHAM AVE",
"address_2": "SUITE 1",
"city": "HEMET",
"state": "CA",
"postal_code": "925434425",
"telephone_number": "951-929-3987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIN TUN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "TUN",
"authorized_official_first_name": "TIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-929-3987",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A514760",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110236729",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.