Jonathan Tam

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

736 Silver Valley TRL
Walnut, CA 91789-2086

Phone

(951) 333-8819

NPI assigned

Aug 12, 2020

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• CRS Physical Therapy Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1265478358
  Medicare reassignment NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1891306064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SILVER VALLEY TRL",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892086",
            "telephone_number": "951-333-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SILVER VALLEY TRL",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892086",
            "telephone_number": "951-333-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Interpreting Inc
• Synergy Acupuncture & Herbs Inc.
• Philong Van Ta, M.D.
• Takemura & Hashimoto Optometry, Inc.
• Roy Kenji Takemura, O.D.
• Susana T Tan
• Imelda Tan Tanchoco, M.D.
• Carsandra Yvonne Taylor, ATC
• Misgana Teklai
• The Filipina Social Worker

• Physical Therapist in Walnut, CA
• Providers in Walnut, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.