Laurel Tam, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

23354 Issued in CA

Practice address

333 Gellert Blvd
Suite 229
Daly City, CA 94015-2621

Phone

(650) 992-8668

NPI assigned

Nov 3, 2013

Last updated

Nov 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383436800000",
    "number": "1801225511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 229",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "650-992-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 229",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "650-992-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "LAUREL",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "754225",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "23354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Tai, P.T.
• Irene Takahashi, MD
• Alvin Tam
• Eisel Aquino Tam, NP
• Kam Chu Tam
• Marie Antonette Tambot, PHARMD
• Connie Yi Qing Tan, NP
• Elaine Jianying Tan, PHARM. D.
• Francis Harold Tan
• Jeannie Tan, M.D.

• Pediatric Nurse Practitioner in Daly City, CA
• Providers in Daly City, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; 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.