Sydney Jao Tang, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

61272 Issued in CA

Practice address

1505 Wilson Ter Ste 240
Glendale, CA 91206-4033

Phone

(310) 205-3555

NPI assigned

Jul 29, 2022

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Don Mehrabi MD a Professional Medical CorporationGroup PAC ID 8123104395, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.96 of 100Reported as group

Quality

90.14

Improvement activities

40

Cost

69.69

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Don Mehrabi MD a Professional Medical Corporation

  dba BHSkin Dermatology

  • Dermatology Physician
  • Glendale, CA
  • NPI 1538350186
  Medicare reassignment Care Compare group
• Christopher J. Charbonnet, M.D., a Professional Corporation

  • Interventional Pain Medicine Physician
  • Glendale, CA
  • NPI 1679785695
  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1508592759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DOVE CREEK LN",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061359",
            "telephone_number": "925-788-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064033",
            "telephone_number": "310-205-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "SYDNEY",
        "middle_name": "JAO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gella Rose Trino Tamonan, PHYSICAL THERAPIST
• Cynthia Nair Tamrazzadeh
• Ilbron Tamrazzadeh, MASSAGE THERAPY
• April S. Tan, O.D.
• Brandon Tang
• Tangeroad, LLC
• Hambik H. Tankazyan, D.O.
• Joseph Angulo Tanlioco, PT
• William Joseph Taormina, DDS
• Gabriela Tapia Jimenez

• Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.