Active NPI
Long Yin Tam, PA
- Physician Assistant
- El Monte, CA
National Provider Identifier
1225741382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA62454
- Practice address
- 3401 Aero Jet Ave
El Monte, CA 91731-2801 - Phone
- (626) 286-8700
- NPI assigned
- Jan 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA62454 | CA | Primary |
Addresses
Primary practice location
3401 Aero Jet Ave
El Monte, CA 91731-2801
Mailing address
2211 E Orangewood Ave # Unite429
Anaheim, CA 92806-6540
Phone (510) 612-8813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA62454 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack Stewart MD Inc | Past | Accepting new patients |
Interoperability endpoints
- ltam2756036@oc.providencedirect.org
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1225741382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E ORANGEWOOD AVE # UNITE429",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928066540",
"telephone_number": "510-612-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 AERO JET AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312801",
"telephone_number": "626-286-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "LONG",
"middle_name": "YIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-03",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA62454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.