Individual provider Active NPI

Stephanie Tang, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1720240526
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
20A10727 Issued in CA
Practice address
757 Westwood PLZ
1517
Los Angeles, CA 90095-3075
Phone
(310) 825-2111
NPI assigned
Jul 2, 2008
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 20A10727 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
1517
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 825-2111

Other identifiers 1

IdentifierTypeStateIssuer
020A10727MedicaidCA

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
I20110427000537 CA Practitioner - Emergency Medicine 1153506662 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Western University of Health Sciences College of Dental Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2900 Lomita Blvd
Torrance, CA 90505-5102
Phone (310) 257-7260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A10727CAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 1, 2011 Accepting new patients
Torrance Emergency Physicians, Inc CurrentSince Apr 1, 2014 Accepting new patients
Torrance Memorial Medical Center CurrentSince Jan 14, 2012 Accepting new patients
Torrance Memorial Medical Center CurrentSince Jan 14, 2012 Accepting new patients
Torrance Health Association Inc CurrentSince Jul 1, 2016 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2011 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

855 Manhattan Beach Blvd
Ste 101
Manhattan Beach, CA 90266
Phone (310) 257-0508

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Interoperability endpoints

  • Direct secure messaging: stang22474@direct.uclahealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1720240526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "1517",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "20A10727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020A10727",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.