Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOPHIA SHEN RUEY TANG
NPI 1003659798
Physician Assistant - Medical in Monterey Park, CA

Active since June 18, 2024PECOS Enrolled
616 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754(626) 635-1688 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Shen Ruey Tang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA SHEN RUEY TANG (NPI 1003659798) is an individual medical provider in Monterey Park, California, licensed in California (PA67886) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003659798
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSOPHIA SHEN RUEY TANG
Location Address616 N GARFIELD AVE STE 203Monterey Park, CA 91754-1153
Mailing Address308 Oxford DrArcadia, CA 91007-2641
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1003659798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA67886
616 N GARFIELD AVE STE 203, Monterey Park, CA 91754

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sophia Shen Ruey Tang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
616 N GARFIELD AVE STE 203
MONTEREY PARK, CA 91754
Physician Assistant
616 N GARFIELD AVE STE 203
MONTEREY PARK, CA 91754
Physician Assistant
616 N GARFIELD AVE STE 203
MONTEREY PARK, CA 91754
Dermatology
616 N GARFIELD AVE STE 203
MONTEREY PARK, CA 91754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Tang's NPI number?

The NPI number for Sophia Tang is 1003659798. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Sophia Tang located?

Sophia Tang practices at 616 N Garfield Ave Ste 203, Monterey Park, CA 91754. The listed phone number is (626) 635-1688.

What is Sophia Tang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sophia Tang enrolled in Medicare?

Yes. Sophia Tang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Tang was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.