Active NPI
Tin-Jon Syiau, MD
- Nephrology Physician
- Arcadia, CA
National Provider Identifier
1366511768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A64781
- Practice address
- 150 N Santa Anita Ave Ste 645
Arcadia, CA 91006-3140 - Phone
- (626) 821-0655
- Fax
- (626) 254-9220
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A64781 | CA | |
| Nephrology Physician | 207RN0300X | A64781 | CA | Primary |
Addresses
Primary practice location
150 N Santa Anita Ave Ste 645
Arcadia, CA 91006-3140
Mailing address
PO Box 1958
San Gabriel, CA 91778-1958
Phone (626) 821-0655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A647810 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr TJ Syiau Medical Corporation | Internal Medicine | Current | Accepting new patients |
Locations
150 N Santa Anita Ave
Ste 645
Arcadia, CA 91006
Phone (626) 821-0655
1069 W Sunset Blvd
Los Angeles, CA 90012
Phone (213) 250-9698
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1366511768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1958",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917781958",
"telephone_number": "626-821-0655",
"fax_number": "626-254-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N SANTA ANITA AVE STE 645",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063140",
"telephone_number": "626-821-0655",
"fax_number": "626-254-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYIAU",
"first_name": "TIN-JON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A64781",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A64781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A647810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.