TANTAM MEDICAL GROUP, INC. - NPI 1154315828 - Family Medicine in Santa Ana, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Tantam Medical Group, Inc. NPPES

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

TANTAM MEDICAL GROUP, INC. (NPI 1154315828) is a healthcare organization registered as a family medicine in Santa Ana, California and active in the NPI registry since September 2005. The organization lists Pumipak Tantamjarik, Physician, as its authorized official.

NPPES Registry Identity

NPI1154315828

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTANTAM MEDICAL GROUP, INC.

Location Address1610 W EDINGER AVE STE BSanta Ana, CA 92704-4339

Mailing Address1610 W Edinger Ave Ste BSanta Ana, CA 92704-4339 · (714) 641-1610 · Fax (714) 641-1146

Phone(714) 641-1610

Fax(714) 641-1146

Organization SubpartNo

Authorized OfficialPumipak TantamjarikPhysician · (714) 641-1610

Enumeration DateSeptember 8, 2005

Last NPPES UpdateFebruary 23, 2023

NPPES CertifiedFebruary 23, 2023

✔ NPI 1154315828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A71362

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X · License A31595 (CA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License A31442 (CA)

1610 W EDINGER AVE STE B, Santa Ana, CA 92704

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Other Identifiers 1

MedicaidGR0027840CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

TRIET SY NGUYEN PA-C

Physician Assistant (Medical)