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

Individual provider Physician Assistant · NPI 1609128693

Phuong Nguyen Tang, PA is a Physician Assistant in Pasadena, California. Qualified in 2012, 14 years ago. Practices with Genesis Healthcare Partners PC, a 220-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283
Phone: (626) 449-9920
Fax: (626) 578-7366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22588 (CA)

Record details

NPI number1609128693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESAugust 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Genesis Healthcare Partners Pc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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