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

Michael Tam

Individual provider Physician Assistant · NPI 1619529518

Michael Tam is a Physician Assistant in Berkeley, California. Qualified in 2020, 6 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
6
Licensed in
CA, IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2850 Telegraph Ave Ste 120
Berkeley, CA 94705-1159
Phone: (510) 204-8140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 W Ogden Ave, Hinsdale, IL 60521-3186 — (630) 323-6116

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61646 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085-008017 (IL)

Record details

NPI number1619529518
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2019
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 276950, Sacramento, CA 95827-6950

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Berkeley