Organization Active NPI

Henry Tang, D.O. Inc.

  • Specialist
  • Simi Valley, CA
National Provider Identifier
1982841623
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A9024 Issued in CA
Legal business name
HENRY TANG, D.O. INC.
Practice address
2650 Jones Way Ste 30
Simi Valley, CA 93065-1221
Phone
(805) 579-9999
Fax
(805) 579-9900
NPI assigned
Jan 16, 2009
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mrs. Teresa Nguyen
Title
Office Manager
Phone
(805) 579-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20A9024 CA Primary

Addresses

Primary practice location

2650 Jones Way Ste 30
Simi Valley, CA 93065-1221

Mailing address

2650 Jones Way Ste 30
Simi Valley, CA 93065-1221
Phone (805) 579-9999

Other identifiers 1

IdentifierTypeStateIssuer
1700069630OtherCANPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107000086 CA Part B Supplier - Clinic/Group Practice 2567684509 Receives reassigned benefits from 7 practitioners
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

2650 Jones Way
Ste 30
Simi Valley, CA 93065
Phone (805) 267-6161

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1982841623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY STE 30",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651221",
            "telephone_number": "805-579-9999",
            "fax_number": "805-579-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY STE 30",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651221",
            "telephone_number": "805-579-9999",
            "fax_number": "805-579-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY TANG, D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-579-9999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A9024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1700069630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.