Individual provider Active NPI

Mark M. Tsuchiyose, M.D.

  • Gastroenterology Physician
  • Daly City, CA
National Provider Identifier
1063412195
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G53160 Issued in CA
Practice address
1850 Sullivan Avenue #520
Daly City, CA 94015
Phone
(650) 756-5000
Fax
(650) 756-5903
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G53160 CA Primary

Addresses

Primary practice location

1850 Sullivan Avenue #520
Daly City, CA 94015

Mailing address

1850 Sullivan Avenue #520
Daly City, CA 94015
Phone (650) 756-5000

Other identifiers 1

IdentifierTypeStateIssuer
GR0092050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090717000518 CA Practitioner - Gastroenterology 7214823129 Reassigns benefits to 1 organization
I20250416001012 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 7214823129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Suite 420
Daly City, CA 94015-2204
Phone (650) 756-5000

1860 El Camino Real
Suite 101
Burlingame, CA 94010-3106
Phone (650) 756-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G53160CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Mark Tsuchiyose MD Inc Gastroenterology CurrentSince Feb 19, 2025 Accepting new patients
Bay Area Digestive Health Medical Group, Inc. Current Accepting new patients
Soar Surgery Center, LLC Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1860 El Camino Real
Ste 101
Burlingame, CA 94010
Phone (650) 552-0700

1860 El Camino Real
Ste 1
Burlingame, CA 94010
Phone (650) 756-5000

1850 Sullivan Ave
Ste 520
Daly City, CA 94015
Phone (415) 756-5000

1850 Sullivan Ave
Daly City, CA 94015
Phone (650) 756-5630

1850 Sullivan Ave
Ste 420
Daly City, CA 94015
Phone (650) 756-1214

2089 Vale Rd
Ste 33
San Pablo, CA 94806
Phone (510) 234-5012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mtsuchiyose46123@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mark.tsuchiyose@758657483800580.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1063412195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVENUE #520",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-756-5000",
            "fax_number": "650-756-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVENUE #520",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-756-5000",
            "fax_number": "650-756-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUCHIYOSE",
        "first_name": "MARK",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G53160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.