Active NPI
Jennifer M Tam, PT
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24625
- Practice address
- 3459 Cahuenga Blvd W
Los Angeles, CA 90068-1338 - Phone
- (323) 851-5000
- Fax
- (323) 472-9544
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24625 | CA | Primary |
Addresses
Primary practice location
3459 Cahuenga Blvd W
Los Angeles, CA 90068-1338
Mailing address
3459 Cahuenga Blvd W
Los Angeles, CA 90068-1338
Phone (323) 851-5000
Other practice location 1
222 W Eulalia St
Suite 101
Glendale, CA 91204-2849
Phone (818) 246-4800
Other names 1
- Miss Jennifer M Yoshimura
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select CS Physical Therapy PC
Practice addresses (Care Compare)
12737 Glenoaks Blvd
Sylmar, CA 91342-4723
Phone (747) 260-1091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24625 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Proactive Work Health Medical Center Inc | Past | Accepting new patients |
Locations
500 San Fernando Mission Blvd
Ste 100
San Fernando, CA 91340
Phone (323) 770-2871
2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320
12737 Glenoaks Blvd
Ste 1
Sylmar, CA 91342
Phone (747) 260-1091
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Physical Therapist
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
- Physical Therapy Clinic/Center
- Monrovia, CA
- NPI 1548844566
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1336260421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1720160807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3459 CAHUENGA BLVD W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681338",
"telephone_number": "323-851-5000",
"fax_number": "323-472-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3459 CAHUENGA BLVD W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681338",
"telephone_number": "323-851-5000",
"fax_number": "323-472-9544"
}
],
"practiceLocations": [
{
"address_1": "222 W Eulalia St",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912042849",
"country_code": "US",
"telephone_number": "818-246-4800",
"fax_number": "818-246-4805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAM",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "YOSHIMURA",
"middle_name": "M",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.