JONATHAN TAM MD
NPI 1619133600
Allergy & Immunology - Allergy in Los Angeles, CA

Q: What is Jonathan Tam's NPI number?

The NPI number for Jonathan Tam is 1619133600. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Q: What is Jonathan Tam's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Tam was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 30, 2008PECOS EnrolledAccepts Medicare Assignment

4650 W SUNSET BLVD, MS#75, LOS ANGELES, CA 90027(323) 361-2501(323) 361-1191 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jonathan Tam Md NPPES

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

JONATHAN TAM MD (NPI 1619133600) is an individual allergy provider in Los Angeles, California, licensed in California (A125923) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619133600

Entity TypeIndividualMale

Primary Taxonomy207KA0200X

Provider Legal NameJONATHAN TAMCredential: MD

Location Address4650 W SUNSET BLVD, MS#75Los Angeles, CA 90027-6062

Mailing Address4650 W Sunset Blvd, Ms#75Los Angeles, CA 90027-6062 · (323) 361-2501 · Fax (323) 361-1191

Phone(323) 361-2501

Fax(323) 361-1191

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 30, 2008

Last NPPES UpdateJune 17, 2015

✔ NPI 1619133600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

License✔ Licensed in CA · A125923

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Also ListedPediatricsTaxonomy 208000000X · License 125-052818 (IL), 54495 (WI)

4650 W SUNSET BLVD, Los Angeles, CA 90027

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Other Identifiers 1

Other125-052818IL · Illinois License

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

Jonathan Tam Md 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 ID2264615731

PECOS Enrollment IDI20130809000154

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 20

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

DR. MARK HENDRIK CORDEN M.D.

Pediatrics

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-8893

MS. ROBERTA MIYEKO KATO MD

Pediatrics (Pediatric Pulmonology)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2101

CHILDREN'S HOSPITAL LOS ANGELES

General Acute Care Hospital (Children)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3644

JESSICA ELIZABETH GREIM DPT, PT

Physical Therapist (Pediatrics)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (310) 361-2118

MOLLY CEVASCO PH.D., BCBA

Psychologist (Clinical Child & Adolescent)

4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3849

GINNY KIM THAN NP

Nurse Practitioner (Pediatrics)

4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3033

DOUGLAS SHAPIRO MD

Pediatrics (Pediatric Emergency Medicine)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 660-2450

ALEXANDRA LYNN JOSTES MD

Student in an Organized Health Care Education/Training Program

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2122

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 Jonathan Tam's NPI number?

The NPI number for Jonathan Tam is 1619133600. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is Jonathan Tam located?

Jonathan Tam practices at 4650 W Sunset Blvd Ms#75, Los Angeles, CA 90027. The listed phone number is (323) 361-2501.

What is Jonathan Tam's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Jonathan Tam enrolled in Medicare?

Yes. Jonathan 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 Jonathan Tam was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.