Individual provider Active NPI

Robert Fan Yang Tzeng, MD

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1578665014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A39498 Issued in CA
Practice address
420 N Garfield Ave
Suite 205
Monterey Park, CA 91754-1206
Phone
(626) 572-8626
Fax
(626) 280-0950
NPI assigned
Sep 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A39498 CA Primary

Addresses

Primary practice location

420 N Garfield Ave
Suite 205
Monterey Park, CA 91754-1206

Mailing address

420 N Garfield Ave
Suite 205
Monterey Park, CA 91754-1206
Phone (626) 572-8626

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000623 CA Practitioner - Internal Medicine 0941386189 Reassigns benefits to 1 organization
Practice locations: Monterey Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Alliance Medical GroupGroup PAC ID 5991747883, 2 clinicians

Practice addresses (Care Compare)

17170 Colima Rd
Suite G
Hacienda Heights, CA 91745-6771
Phone (626) 965-8202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Alliance Medical Group CurrentSince Jan 17, 2024 Accepting new patients
E Lin, DO, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Grace Ting, DPM, Inc. PastSince May 15, 2005 Accepting new patients
Evergreen Medical Group Past Accepting new patients

Locations

1850 S Azusa Ave
Ste 60
Hacienda Heights, CA 91745
Phone (626) 854-3451

17170 Colima Rd
Ste G
Hacienda Hts, CA 91745
Phone (626) 810-0706

420 N Garfield Ave
Ste 205
Monterey Park, CA 91754
Phone (626) 572-7601

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578665014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE",
            "address_2": "SUITE 205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-572-8626",
            "fax_number": "626-280-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE",
            "address_2": "SUITE 205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-572-8626",
            "fax_number": "626-280-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZENG",
        "first_name": "ROBERT",
        "middle_name": "FAN YANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.