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TAMMIE KWONG DO, MPH
NPI 1639669328
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA

Active since May 17, 2018PECOS Enrolled
12815 HEACOCK ST, MORENO VALLEY, CA 92553(833) 574-2273 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2021, May 17, 2018 (2 updates tracked since 2018).

About Tammie Kwong Do, Mph NPPES

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

TAMMIE KWONG DO, MPH (NPI 1639669328) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639669328
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTAMMIE KWONGCredential: DO, MPH
Location Address12815 HEACOCK STMoreno Valley, CA 92553-3116
Mailing Address12815 Heacock StMoreno Valley, CA 92553-3116 · (833) 574-2273
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateMay 17, 2018
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1639669328 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.
12815 HEACOCK ST, Moreno Valley, CA 92553
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammie Kwong Do, Mph 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.

Medicare Billing Reassignment

Medicare enrollment records show Tammie Kwong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
13 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CAITLIN THU CHAU M.D.
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6163
MARINOR ANNE MARCELO CONCEPCION DO
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (833) 574-2273
MS. ANA RAYO LMFT
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6261
DENENEA CONNER-TILLMAN LCSW
Social Worker
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6200
NADINE M HAMMOUD DO, MS
Family Medicine (Addiction Medicine)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (833) 574-2273
VICTORIA LEAH SNYDER LCSW
Social Worker (Clinical)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6174
JESSICA TERRELL MA
Counselor (Addiction (Substance Use Disorder))
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6388
HAN-LIN SUNG MD
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (866) 984-7483

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 Tammie Kwong's NPI number?

The NPI number for Tammie Kwong is 1639669328. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Tammie Kwong located?

Tammie Kwong practices at 12815 Heacock St, Moreno Valley, CA 92553. The listed phone number is (833) 574-2273.

What is Tammie Kwong's specialty?

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

Is Tammie Kwong enrolled in Medicare?

Yes. Tammie Kwong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tammie Kwong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammie Kwong reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammie Kwong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tammie Kwong was last updated on December 15, 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.