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GORDON TAM
NPI 1144684424
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-2608(909) 427-5312 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon Tam NPPES

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

GORDON TAM (NPI 1144684424) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144684424
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGORDON TAM
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address17234 Valley Blvd.Fontana, CA 92335 · (909) 427-2608 · Fax (909) 427-5312
Phone(909) 427-2608
Fax(909) 427-5312
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1144684424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9961 SIERRA AVE, Fontana, CA 92335
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gordon Tam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648506931
PECOS Enrollment IDI20190724001981
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Other Providers at the Same Location NPPES 20

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

SHEILA ANN VANALLEN PT
Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
San Bernardino County (909) 427-7727
MR. JAMES DAVID KILLEEN III M.D.
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
San Bernardino County (909) 427-6960
MR. DHIRESH N PATEL RPH
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 302-8018
MS. STELLA MARIS CARLOS R.D.
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 472-7185
KADETTE KELLY CRNA
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
YAEL STEINFELD NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
SCOTT SWARTZ NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
ROBERT M. THEAL MD
Family Medicine
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910

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 Gordon Tam's NPI number?

The NPI number for Gordon Tam is 1144684424. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Gordon Tam located?

Gordon Tam practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-2608.

What is Gordon Tam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gordon Tam enrolled in Medicare?

Yes. Gordon Tam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gordon Tam was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.