Healthcare Provider Details

I. General information

NPI: 1295128460
Provider Name (Legal Business Name): TNDM HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 N MAIN ST SUITE 5
SALINAS CA
93906-3957
US

IV. Provider business mailing address

971 N MAIN ST SUITE 5
SALINAS CA
93906-3957
US

V. Phone/Fax

Practice location:
  • Phone: 831-272-6458
  • Fax: 831-272-6529
Mailing address:
  • Phone: 831-272-6458
  • Fax: 831-272-6529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. TAM NGUYEN
Title or Position: CEO
Credential: M.D.
Phone: 408-258-5083