Michael Tam

Physician Assistant · Berkeley, CA

Individual Active NPI

NPI number 1619529518

Practice location

2850 Telegraph Ave Ste 120
Berkeley, CA 94705-1159
Phone
(510) 204-8140

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NPI record

NPI
1619529518
Entity type
Individual (Type 1)
Enumeration date
July 10, 2019
Last updated
May 6, 2025
Certified
May 6, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA61646 CA
Physician Assistant 363A00000X 085-008017 IL

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice locations (1)

  • 550 W Ogden Ave, Hinsdale, IL 60521-3186 · (630) 323-6116

About Michael Tam

Michael Tam is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159. The NPI number 1619529518 was assigned on July 10, 2019 and the record was last updated on May 6, 2025.

Michael Tam lists 2 licenses in the registry: #PA61646 (CA) for Physician Assistant; #085-008017 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Tam?

The NPI number is 1619529518.

What is the phone number of Michael Tam?

The phone number listed for the practice location is (510) 204-8140.

Where is Michael Tam located?

2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159.

What is the taxonomy code for Michael Tam?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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