Tam Tiet (NPI# 1285994244, PAC ID# 1052621042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1285994244 |
| PAC ID by PECOS | 1052621042 |
| Professional Enrollment ID | I20151103001786 |
| Full Name | Tam Tiet |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
1383 N Mcdowell Blvd Suite 150 Petaluma CA 94954-7118 |
| Phone Number | 7073082540 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050131 | NOVATO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1383 N Mcdowell Blvd, Suite 150, Petaluma, CA 94954-7118 | 7073082540 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Street Address |
1383 N MCDOWELL BLVD SUITE 150 |
| City | PETALUMA |
| State | CA |
| Zip | 94954-7118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Michael Alan Johnson | Podiatry | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Petaluma, CA 94954-2310 |
| Nikola Lozanov | Family Medicine | 108 Lynch Creek Way, Suite 4, Petaluma, CA 94954-2310 | |
| Naomi R.e. Detablan | Podiatry | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PETALUMA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tam Tiet.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.