Organization Active NPI

Charles Tam Medical Corporation

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1447430970
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A19706 Issued in CA
Legal business name
CHARLES TAM MEDICAL CORPORATION
Practice address
2520 L St
Bakersfield, CA 93301-2337
Phone
(661) 328-9500
Fax
(661) 328-0938
NPI assigned
Nov 13, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Charles T C Tam, M.D.
Title
Physician
Phone
(661) 328-9500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A19706 CA Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X A19706 CA
Legal Medicine (M.D./D.O.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 209800000X A19706 CA

Addresses

Primary practice location

2520 L St
Bakersfield, CA 93301-2337

Mailing address

2520 L St
Bakersfield, CA 93301-2337
Phone (661) 328-9500

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ48366ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

2520 L St
Bakersfield, CA 93301
Phone (661) 328-9500

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447430970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 L ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012337",
            "telephone_number": "661-328-9500",
            "fax_number": "661-328-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 L ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012337",
            "telephone_number": "661-328-9500",
            "fax_number": "661-328-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES TAM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "661-328-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A19706",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A19706",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A19706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ48366Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.