Phuong Nguyen Tang, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22588 Issued in CA

Practice address

630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283

Phone

(626) 449-9920

Fax

(626) 578-7366

NPI assigned

Oct 15, 2012

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phuong.nguyen.2@3663.direct.athenahealth.com

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.

• Genesis Healthcare Partners PC

  • Specialist
  • Encinitas, CA
  • NPI 1548567498
  Medicare reassignment Care Compare group
• Skyline Urology

  • Specialist
  • Torrance, CA
  • NPI 1730136573
  NPD
• Urology Institute of the South Bay

  • Urology Physician
  • Torrance, CA
  • NPI 1801804760
  NPD

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1609128693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-449-9920",
            "fax_number": "844-406-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-449-9920",
            "fax_number": "626-578-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "PHUONG",
        "middle_name": "NGUYEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvin Taneja, MD
• Lynda Tanekeu
• George Tang, M.D.
• Lawton Wai-Choy Tang, MD
• Mei Tang
• Ronald Tang, DO
• Thierry Tang
• Yuxi Tang
• Lance Makoto Tango, L.M.F.T.
• Niki Himat Tank, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.