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

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1578581666

Ricky Phong Tan Mac, MD is an Endocrinology in Long Beach, California. Graduated from Albert Einstein College of Medicine of Yeshiva University in 1997, 29 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
CA
In the registry since
2006
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

1868 Pacific Ave
Long Beach, CA 90806-6113
Phone: (562) 595-4718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence A68178 (CA)

Record details

NPI number1578581666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 22, 2012

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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