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

Tantam Medical Group, Inc

Organization Family Medicine Physician · NPI 1154315828

Tantam Medical Group, Inc is a Family Medicine Physician 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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