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Derek Chi-Fung Tam

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as DEREK TAM.

Based on the most recent information from CMS, provider Derek Chi-Fung Tam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1275922130
Provider Type
Individual
Full Name
Tam, Derek Chi-Fung
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/15/2015
Last Updated
6/29/2021

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-8800

Unlisted Fax

Mailing Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A168598 California

Derek Chi-Fung Tam

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Martinez-Andree, Ingrid L

Stump, Chari Diana

Wu, Veda C

Boies, Eyla G.

Russell, Samuel Peter

Bartoletti, Joseph John

Hansen, John C

Manuel, Peggy L

Rose, Olga D.

Adjan, Roula Soufi