ANGELIQUE SAO MAI SY TAY (MD) – Neurological Surgery Physician, NPI 1225694763

ANGELIQUE SAO MAI SY TAY (MD) is a healthcare provider. based in Los angeles, California. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 70407 (TN). The NPI Number for ANGELIQUE SAO MAI SY TAY (MD) is 1225694763

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANGELIQUE SAO MAI SY TAY (MD)
NPI
1225694763
Phone
Not provided
Address
127 S SAN VICENTE BLVD STE A6600
Enumeration Date
9 May 2019
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753232080
Graduation Year
2017 (9 years ago)
PAC ID
0941742019
Group Practice PAC ID
3870588619
Professional Enrollment ID
I20250825003829
Address ID
NV895113019RE5590XLNXX300

Contacts

Secure Messaging
atay811400@direct.vumc.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:7State licenses:3Other names

795 NEUROSURGERY in CA

Provider Addresses for ANGELIQUE SAO MAI SY TAY (MD)

  • 127 S SAN VICENTE BLVD STE A6600

    LOS ANGELES, CA 900483311

    Phone:

    Type: Mailing

  • 5590 KIETZKE LN

    RENO, NV 895113019

    Phone: (775) 323-2080

    Type: Mailing

  • 127 S San Vicente Blvd Ste A6600

    Los Angeles, CA 900483311

    Phone: (310) 423-9522

    Type: Location

  • 3601 The Vanderbilt Clinic

    Nashville, TN 372323311

    Phone: (615) 322-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $35,123.

Total Amount is formed as General ($35,123) + Research ($0) + Ownership ($0) = $35,123.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Medtronic, Inc. ($20,000).

Total Amount

$35,123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$35,123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240604002504INeurosurgeryTNTBD
I20250825003829INeurosurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870588619View full group profile
NameSpecialtyState
N E U R O S U R G E R YNV
-NV
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV
N E U R O S U R G E R YNV
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantAL
N E U R O S U R G E R YNV

Reviews

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Frequently asked questions

Can I use this page to confirm ANGELIQUE SAO MAI SY TAY (MD)'s NPI?
Yes. ANGELIQUE SAO MAI SY TAY (MD) is listed with NPI 1225694763 in the public NPI dataset.
Does CMS list ANGELIQUE SAO MAI SY TAY (MD) as active?
Yes — ANGELIQUE SAO MAI SY TAY (MD) is active in the NPI listing used on this page.
What healthcare role does ANGELIQUE SAO MAI SY TAY (MD) hold?
Scheduling teams often label ANGELIQUE SAO MAI SY TAY (MD) under Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is ANGELIQUE SAO MAI SY TAY (MD) based?
ANGELIQUE SAO MAI SY TAY (MD) is tied to Los Angeles, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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