Individual provider Active NPI

Tin-Jon Syiau, MD

  • Nephrology Physician
  • Arcadia, CA
National Provider Identifier
1366511768
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A64781 Issued in CA
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

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A647810MedicaidCA

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

OrganizationSpecialtyStatusNew patients
Dr TJ Syiau Medical Corporation Internal Medicine CurrentSince Jul 1, 2002 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.

Verify at the official NPI Registry.