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

Jonathan Tam, MD

Individual provider Pediatrics Physician · NPI 1619133600

Jonathan Tam, MD is an Allergy/Immunology in Los Angeles, California. Qualified in 2007, 19 years ago. Practices with Childrens Hospital Los Angeles Medical Group Inc, a 288-clinician group and accepts Medicare assignment. Licensed in California, Illinois and Wisconsin.

Years since qualifying
19
Licensed in
CA, IL, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4650 W Sunset Blvd MS#75
Los Angeles, CA 90027-6062
Phone: (323) 361-2501
Fax: (323) 361-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence A125923 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 125-052818 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 54495 (WI)

Record details

NPI number1619133600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJune 17, 2015

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Childrens Hospital Los Angeles Medical Group Inc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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