Organization Active NPI

Tma Coagulation Specialists

  • Anatomic Pathology & Clinical Pathology Physician
  • Laguna Hills, CA
National Provider Identifier
1013143825
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
TMA COAGULATION SPECIALISTS
Practice address
24407 Calle de la Louisa Ste 100
Laguna Hills, CA 92653-3650
Phone
(949) 581-0555
Fax
(949) 487-7065
NPI assigned
Jun 8, 2009
Organization subpart
Yes
Parent organization
THOMAS G. HIROSE M.D. A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas G. Hirose, M.D.NPI 1114960861
Title
President
Phone
(949) 581-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

24407 Calle de la Louisa Ste 100
Laguna Hills, CA 92653-3650

Mailing address

24407 Calle de la Louisa Ste 100
Laguna Hills, CA 92653-3650
Phone (949) 581-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216002281 CA Part B Supplier - Clinic/Group Practice 8224339239 Receives reassigned benefits from 1 practitioner
Practice locations: Burlingame, CA; Torrance, CA; Laguna Hills, CA

National Provider Directory

National Provider Directory
Part of
Thomas G Hirose MD Apc

Locations

851 Burlway Rd
Ste 308
Burlingame, CA 94010
Phone (650) 347-9200

24421 Calle de la Louisa
Laguna Hills, CA 92653
Phone (949) 458-1288

24407 Calle de la Louisa
Ste 100B
Laguna Hills, CA 92653

647 Camino de los Mares
Ste 223
San Clemente, CA 92673
Phone (949) 487-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1013143825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24407 CALLE DE LA LOUISA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533650",
            "telephone_number": "949-581-0555",
            "fax_number": "949-581-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24407 CALLE DE LA LOUISA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533650",
            "telephone_number": "949-581-0555",
            "fax_number": "949-487-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMA COAGULATION SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS G. HIROSE M.D. A PROFESSIONAL CORPORATION",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "HIROSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-581-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.