Jonathan Tam MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G66009 Issued in CA

Legal business name

JONATHAN TAM MD INC

Practice address

105 N Hill Ave Ste 203
Pasadena, CA 91106-1934

Phone

(626) 449-3263

Fax

(626) 795-5145

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Miss Patricia Lam

Title

Om

Phone

(626) 449-3263

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Nei-Kim Tam, M.D.

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
  • NPI 1013942952
  Medicare reassignment NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1265766166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N HILL AVE #203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063487",
            "telephone_number": "626-449-3263",
            "fax_number": "626-795-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HILL AVE STE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061934",
            "telephone_number": "626-449-3263",
            "fax_number": "626-795-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN TAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "626-449-3263",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G66009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G660091",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G660094",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Joint
• Cortney Jolin, MSN
• Vivian Jolon
• Iman Jomaa
• Jon-Patrik Pedersen, PHD, Clinical Psychology P.C.
• Katrina Jones Wildey
• Traci Jones-Martinez, PT
• Aierial Naree Jones
• Americus Jones
• Angelia Jones

• Obstetrics & Gynecology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.