OWEN ERICSON TAM
NPI 1184467862
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since June 18, 2024
918 CLEMENT ST, SAN FRANCISCO, CA 94118(415) 775-2636 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2026, Jun 18, 2024 (2 updates tracked since 2024).

About Owen Ericson Tam NPPES

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

OWEN ERICSON TAM (NPI 1184467862) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1184467862
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOWEN ERICSON TAM
Location Address918 CLEMENT STSan Francisco, CA 94118-2111
Mailing Address918 Clement StSan Francisco, CA 94118-2111 · (415) 775-2636
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1184467862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

918 CLEMENT ST, San Francisco, CA 94118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184467862, enumerated as an "individual" on June 18, 2024.

The provider is located at 918 CLEMENT ST SAN FRANCISCO, CA 94118 and the phone number is (415) 775-2636.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.