Active NPI
Vincent John Tso, DMD
- Prosthodontics
- South Pasadena, CA
National Provider Identifier
1043201726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 34243
- Practice address
- 627 Fremont Ave
South Pasadena, CA 91030-2527 - Phone
- (626) 799-6255
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 34243 | CA | Primary |
Addresses
Primary practice location
627 Fremont Ave
South Pasadena, CA 91030-2527
Mailing address
627 Fremont Ave
South Pasadena, CA 91030-2527
Phone (626) 799-6255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070718000644 | CA | Practitioner - Oral Surgery | 4183725336 | Practice locations: South Pasadena, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
627 Fremont Ave
South Pasadena, CA 91030-2527
Phone (626) 799-6255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1043201726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 FREMONT AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302527",
"telephone_number": "626-799-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 FREMONT AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302527",
"telephone_number": "626-799-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSO",
"first_name": "VINCENT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "34243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.