ANGIE NAM
NPI 1912466269
Physician Assistant - Medical in Porterville, CA

Active since March 17, 2019PECOS EnrolledAccepts Medicare Assignment
1107 W POPLAR AVE, PORTERVILLE, CA 93257(877) 960-3426 Get Directions Write a Review

NPPES record last updated: March 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angie Nam NPPES

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

ANGIE NAM (NPI 1912466269) is an individual medical provider in Porterville, California, licensed in California (56581) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2018).

NPPES Registry Identity

NPI1912466269
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGIE NAM
Location Address1107 W POPLAR AVEPorterville, CA 93257-5839
Mailing Address187 Fairgrounds DrSacramento, CA 95817-2407 · (909) 702-0083
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2018
Enumeration DateMarch 17, 2019
NPI 1912466269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 56581
1107 W POPLAR AVE, Porterville, CA 93257

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

Angie Nam 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 ID3375977762
PECOS Enrollment IDI20191217002841
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$2.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$63.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Clinic/Center (Federally Qualified Health Center (FQHC))
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Nurse Practitioner (Family)
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Physician Assistant
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Nurse Practitioner (Family)
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Physician Assistant (Medical)
1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORK
PORTERVILLE, CA 93257
Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257

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 Angie Nam's NPI number?

The NPI number for Angie Nam is 1912466269. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Angie Nam located?

Angie Nam practices at 1107 W Poplar Ave, Porterville, CA 93257. The listed phone number is (877) 960-3426.

What is Angie Nam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angie Nam enrolled in Medicare?

Yes. Angie Nam 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 Angie Nam was last updated on March 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.