John W. Tam Podiatry Corp

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2153 Issued in CA

Legal business name

JOHN W. TAM PODIATRY CORP

Practice address

222 E Route 66
Glendora, CA 91740-6241

Phone

(626) 914-4661

Fax

(626) 335-1840

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John W Tam, D.P.M.NPI 1942292602

Title

President

Phone

(626) 914-4661

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John W. Tam, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Glendora, CA
  • NPI 1942292602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1699765305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406241",
            "telephone_number": "626-914-4661",
            "fax_number": "626-335-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406241",
            "telephone_number": "626-914-4661",
            "fax_number": "626-335-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. TAM PODIATRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-914-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "4139600001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Glendora, CA
• Providers in Glendora, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.