Provider Demographics
NPI:1295128460
Name:TNDM HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:TNDM HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-258-5083
Mailing Address - Street 1:971 N MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3957
Mailing Address - Country:US
Mailing Address - Phone:831-272-6458
Mailing Address - Fax:831-272-6529
Practice Address - Street 1:971 N MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3957
Practice Address - Country:US
Practice Address - Phone:831-272-6458
Practice Address - Fax:831-272-6529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health