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

Gordon Tam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144684424

Gordon Tam is an Internal Medicine in Fontana, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

9961 Sierra Ave
Fontana, CA 92335-6720
Phone: (909) 427-2608
Fax: (909) 427-5312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144684424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address17234 Valley Blvd., Fontana, CA 92335

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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