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

Q: 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.

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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