Jack Tang, PA
NPI 1619777901 · Physician Assistant · Gold River, CA
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Tang, PA is a Physician Assistant provider in Gold River, CA (NPI 1619777901).
Provider details
- NPI number
- 1619777901
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA67316 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-15
- Last updated
- 2026-04-11
- Certified
- 2026-04-11
Frequently asked questions
- What is Jack Tang's NPI number?
- Jack Tang's National Provider Identifier (NPI) is 1619777901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Tang's specialty?
- Jack Tang is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Tang located?
- Jack Tang's practice location on file with NPPES is 2485 Sunrise Blvd, Gold River, CA 95670-4344.
- What is Jack Tang's phone number?
- The practice phone number listed in the NPPES registry for Jack Tang is (916) 642-1867.
- Does Jack Tang accept Medicare?
- Jack Tang is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Tang's NPI active?
- Yes — Jack Tang's NPI (1619777901) is active in the NPPES registry as of the last update on 2026-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.