Jonathan Tam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT299628 Issued in CA

Practice address

2651 Irvine Ave Ste 128
Costa Mesa, CA 92627-4649

Phone

(949) 722-8811

Fax

(949) 722-9911

NPI assigned

Mar 31, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jonathan.tam.1@17371.direct.athenahealth.com

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1689252538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 IRVINE AVE STE 128",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274649",
            "telephone_number": "949-722-8811",
            "fax_number": "949-722-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 IRVINE AVE STE 128",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274649",
            "telephone_number": "949-722-8811",
            "fax_number": "949-722-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas James Takekoshi, PT, DPT
• Ibrahim Takesh
• Adilene Talamante
• Talbert Medical Group
• Grace Tam
• Tami Inbar MD Inc
• Lilia Santos Tan Figueroa, MD
• Leonie L Tan, PHARM.D
• Madelane Tan
• Suzanne Yen Tang, N.D., L.AC.

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.