Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAM DO
Deactivated Sole ProprietorTAM DO is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in COSTA MESA, California. NPI 1801426192 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · COSTA MESA, CA
This NPI has been deactivated.
The record was deactivated on August 10, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1801426192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2020 (0.54098360655738 yrs)
- Last Updated
- Apr 5, 2025
- Deactivated
- Aug 10, 2020
- Licenses
-
95017595 (CA)95017595 (CA)95017595 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 BRISTOL ST STE B205COSTA MESA, CA, 926265948Browse CA providers · Browse ZIP 92626
- Phone
- 9492744323
- Fax
- 9492744323
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in COSTA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| ROBIN MILLIGAN | — | 1811071624 |
| MS. CHERRI LOUISE PENNE MYERS | PAC | 1265503981 |
| STACY LYN DARWISH | RN | 1093040776 |
| ERIKA NICOLE UBOM | NP | 1972942068 |
| MR. KEITH ALLEN JENKINS | DNP, PMHNP-BC, FNP | 1700274974 |
| MARINA VLADIMIROVNA PODLUBNAYA | PMHNP-BC | 1093261448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.