Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tantam Medical Group, Inc

Organization Family Medicine Physician · NPI 1154315828

Tantam Medical Group, Inc provides Family Medicine Physician services in Santa Ana, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1610 W Edinger Ave Ste B
Santa Ana, CA 92704-4339
Phone: (714) 641-1610
Fax: (714) 641-1146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A71362 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A31595 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A31442 (CA)

Record details

NPI number1154315828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pumipak Tantamjarik — Physician · (714) 641-1610
NPI enumeratedSeptember 8, 2005
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address1610 W Edinger Ave Ste B, Santa Ana, CA 92704-4339

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