Kenneth K Tam, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G71122 Issued in CA

Practice address

14901 Rinaldi St Ste 110
Mission Hills, CA 91345-1253

Phone

(818) 365-1339

Fax

(818) 898-4301

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Maryland School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Consultants Medical GroupGroup PAC ID 5991786105, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kennethtam@carcmg.allscriptsdirect.net
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75951

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.

• Cardiovascular Consultants Medical Group

  • Cardiovascular Disease Physician
  • Mission Hills, CA
  • NPI 1730370156
  Medicare reassignment Care Compare group NPD
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Medicare reassignment NPD
• Cardiovascular Consultants Medical Group

  • Specialist
  • Encino, CA
  • NPI 1427035617

  Cardiovascular Disease

  NPD
• Cardiovascular Consultants Medical Group

  • Nuclear Cardiology Physician
  • Encino, CA
  • NPI 1962108381
  NPD
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  Care Compare affiliation
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1821081423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 110",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451253",
            "telephone_number": "818-365-1339",
            "fax_number": "818-898-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23929 McBean Pkwy Ste 216",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554468",
            "country_code": "US",
            "telephone_number": "661-259-1534",
            "fax_number": "661-284-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "KENNETH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G71122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G71122",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kennethtam@ccmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "14901 Rinaldi St Ste 110",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pharnuk Suthipinijtham, DO.
• Richard G Swanberg, M.D.
• Armin Tahoori, M.D.
• Sheila Hsiu Chen Tai, MD.
• Anjali A Takyar, D.O.
• Ellen Irma Tamagna, MD
• Pierre Tamer, MD
• Adam Ching Tanaka, MD, MPH, MS
• Jeanette Elaine Tang, O.D.
• Luz Rubyrose Lacson Tapnio, RPT.

• Cardiovascular Disease Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.