Organization Active NPI

Tin Tun MD Inc

  • Internal Medicine Physician
  • Hemet, CA
National Provider Identifier
1205964376
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51476 Issued in CA
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

Updated by the provider on Jan 14, 2016

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A514760MedicaidCA
110236729OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.