Ivy Tam
M.D. | Pediatrics | Female
Ivy Tam, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ivy Tam is
3020 Childrens Way, San Diego, California - 92123-4223. She can be contacted on phone at
858-966-5841.
Ivy Tam is a sole proprietor of her business.
NPI number (Unique professional ID) for Ivy Tam is
1427494269 which was assigned by NPPES on 20 May, 2013 and it was last updated on 15 Nov, 2016.
Ivy Tam license number is
A143226 for Pediatrics (208000000X) in California.
Ivy Tam is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ivy Tam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ivy Tam |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Ivy Tam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3020 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-5841 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427494269 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 May, 2013 |
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| Last Updated On : | 15 Nov, 2016 |
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Medicare Participation:
Ivy Tam participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9032469077 |
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| Medicare Enrollment ID : | I20180912001804 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2013 |
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| Accepts Medicare? | May accept. Ivy Tam may accepts medicare insurance. |
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Group Practice Association:
Ivy Tam is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ivy Tam is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Montefiore Medical Center | 3779496021 | 1980 | 111 E 210th St
Mmc Faculty Practice
Bronx, NY - 104672401
Ph: 7189204321 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivy Tam are as mentioned. Primary taxonomy code for Ivy Tam, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | A143226 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3020 Childrens Way # Mc5064
San Diego, CA, 92123-4223
United States |
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Business Location:
Patients can refer following map for directions to
Ivy Tam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.