Individual provider Active NPI

Sullyvan W Tang, M.D.

  • Internal Medicine Physician
  • Seal Beach, CA
National Provider Identifier
1770549206
Registry record updated Nov 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A60959 Issued in CA
Practice address
1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone
(562) 493-9581
Fax
(562) 795-6389
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A60959 CA Primary

Addresses

Primary practice location

1661 Golden Rain Rd
Seal Beach, CA 90740-4907

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

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
I20040205000215 CA Practitioner - Internal Medicine 6608769450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians
Centers for Family Medicine GPGroup PAC ID 9931143799, 87 clinicians

Practice addresses (Care Compare)

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (562) 493-9581

3460 Katella Ave
Los Alamitos, CA 90720-2334
Phone (562) 594-6599

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Family Medicine GP Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Apr 12, 2017 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Apr 12, 2017 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: stang195426@westdirect.optum.com
  • Direct secure messaging: sullyvan.tang.p33@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1770549206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 GOLDEN RAIN RD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907404907",
            "telephone_number": "562-493-9581",
            "fax_number": "562-795-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Gateway Center Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024541",
            "country_code": "US",
            "telephone_number": "619-515-2300",
            "fax_number": "619-906-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "SULLYVAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.