DR. SULLYVAN W TANG M.D.
NPI 1770549206
Internal Medicine in Seal Beach, CA

Q: What is Sullyvan Tang's NPI number?

The NPI number for Sullyvan Tang is 1770549206. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Q: What is Sullyvan Tang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sullyvan Tang was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 April 24, 2006PECOS EnrolledAccepts Medicare Assignment

1661 GOLDEN RAIN RD, SEAL BEACH, CA 90740(562) 493-9581(562) 795-6389 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2025, Aug 7, 2025, Feb 15, 2017 (3 updates tracked since 2017).

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About Dr. Sullyvan W Tang M.d. NPPES

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

DR. SULLYVAN W TANG M.D. (NPI 1770549206) is an individual internal medicine provider in Seal Beach, California, licensed in California (A60959) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1770549206

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SULLYVAN W TANGCredential: M.D.

Location Address1661 GOLDEN RAIN RDSeal Beach, CA 90740-4907

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380

Phone(562) 493-9581

Fax(562) 795-6389

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 24, 2006

Last NPPES UpdateNovember 30, 20253 updates tracked since enumeration

NPPES CertifiedNovember 30, 2025

✔ NPI 1770549206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A60959

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1661 GOLDEN RAIN RD, Seal Beach, CA 90740

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Secondary Practice Location 1

Location 1823 Gateway Center WaySan Diego, CA 92102-4541 · Phone (619) 515-2300 · Fax (619) 906-4564

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

Dr. Sullyvan W Tang M.d. 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 ID6608769450

PECOS Enrollment IDI20040205000215

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

449 services151 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

79 services79 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services16 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. DAVID RAE PARK MD

Family Medicine