KENNETH K TAM (NPI# 1821081423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821081423 |
| Entity Type | Individual |
| Full Name | KENNETH K TAM |
| Credential | M.D. |
| Practice Address |
23929 Mcbean Pkwy Suite 216 Valencia CA 91355-4466 |
| Mailing Address |
15243 Vanowen St Suite 301 Van Nuys CA 91405-3605 |
| Practice Telephone | 6612591534 |
| Practice Fax Number | 6612843670 |
| Mailing Telephone | 8187825041 |
| Mailing Fax Number | 8182059091 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G71122 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G71122 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14901 Rinaldi St Ste 110, Mission Hills, CA 913451253 | 8183651339 | 8188984301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467482703 | Kenneth C Tam | Internal Medicine | 217 Grand St Fl 9, New York, NY 10013-4286 | 2006-07-03 |
| 1194793257 | Kenneth W Tam | Counselor | 3639 Martin Luther King Way S, Seattle, WA 98144-1339 | 2006-03-14 |
| 1891257820 | Kenneth Tam | Student in an Organized Health Care Education/Training Program | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2019-03-31 |
| 1710230503 | Kenneth Tam | Pharmacist | 3000 Church Ave, Brooklyn, NY 11226-4210 | 2012-10-18 |
| 1477884138 | Kenneth Tam | Nurse Practitioner | 4141 Swenson St, Las Vegas, NV 89119-6718 | 2010-01-20 |
| Street Address |
23929 MCBEAN PKWY SUITE 216 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768259 | Robert M Horth | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| 1619216132 | Tower Imaging Medical Centers, Inc. | Radiology | 23929 Mcbean Pkwy, Building F - Suite 109, Valencia, CA 91355-4466 | 2013-02-04 |
| 1669711354 | Gregory M Senofsky Md Inc | Surgery | 23929 Mcbean Pkwy, 110, Valencia, CA 91355-4466 | 2013-01-31 |
| 1588891865 | Ucla Hematology and Oncology, Santa Clarita | Internal Medicine | 23929 Mcbean Pkwy, Bldg. F., Suite 215, Valencia, CA 91355-4466 | 2009-06-15 |
| 1386808624 | Daniel Itzhak Brison | Urology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2008-07-16 |
| 1689865016 | Cardiovascular Consultants Medical Group | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-08-09 |
| 1609067040 | Kamyar Amini | Otolaryngology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-08-08 |
| 1194928770 | Joshua Daniel Hanelin | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-06-08 |
| 1710196910 | Nu T. Lu | Internal Medicine | 23929 Mcbean Pkwy, 215, Valencia, CA 91355-4466 | 2007-05-22 |
| 1003024191 | Srinivas Peddi | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768259 | Robert M Horth | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| 1013911460 | Douglas R Gadowski | Internal Medicine | 25775 Mcbean Pkwy, Ste 105, Valencia, CA 91355-3702 | 2005-06-13 |
| 1013193671 | Harold E. Quan, M.d., Inc | Internal Medicine | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2008-01-14 |
| 1598774184 | Allen E Karz | Internal Medicine | 23861 Mcbean Pkwy, Suite C14, Valencia, CA 91355-2058 | 2006-08-05 |
| 1649235276 | Cardiovascular Imaging Medical Group | Internal Medicine | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2006-04-18 |
| 1700879384 | Samuel Kojoglanian | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.