Individual provider Active NPI

Ren Tang

  • Hearing Instrument Specialist
  • San Jose, CA
National Provider Identifier
1255405270
Registry record updated Oct 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA6045 Issued in CA
Practice address
93 North 14TH Street
#2
San Jose, CA 95112-6200
Phone
(408) 207-5953
Fax
(408) 962-0416
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA6045 CA Primary

Addresses

Primary practice location

93 North 14TH Street
#2
San Jose, CA 95112-6200

Mailing address

404 Toyama Drive
Sunnyvale, CA 94089-2106
Phone (408) 962-0414

Other identifiers 1

IdentifierTypeStateIssuer
HA0060450MedicaidCA

Other names 1

  • Aaron Tang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA6045CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255132800000",
    "number": "1255405270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TOYAMA DRIVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892106",
            "telephone_number": "408-962-0414",
            "fax_number": "408-962-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 NORTH 14TH STREET",
            "address_2": "#2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126200",
            "telephone_number": "408-207-5953",
            "fax_number": "408-962-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "REN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA6045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0060450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "TANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2009; 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.