Individual provider Active NPI

Ilene K Tsui, M.D

  • Obstetrics & Gynecology Physician
  • Oxnard, CA
National Provider Identifier
1063874840
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A154639 Issued in CA
Practice address
1700 N Rose Ave Ste 280
Oxnard, CA 93030-7645
Phone
(805) 384-8071
Fax
(805) 278-6477
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A154639 CA
Obstetrics & Gynecology Physician 207V00000X A154639 CA Primary

Addresses

Primary practice location

1700 N Rose Ave Ste 280
Oxnard, CA 93030-7645

Mailing address

3400 Data Dr
Attn Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Other practice location 1

St. John's Pleasant Valley Hospital - 2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5800

Other practice location 2

St. John's Regional Medical Center - 1600 N Rose Avenue
Oxnard, CA 93030
Phone (805) 988-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817000866 CA Practitioner - Obstetrics/Gynecology 9234486887 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154639CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Feb 28, 2023 Accepting new patients
Community Memorial Health System CurrentSince Jan 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Community Memorial Health System CurrentSince Jan 1, 2022 Accepting new patients
Community Memorial Health System Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 28, 2023 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

1700 N Rose Ave
Ste 220
Oxnard, CA 93030
Phone (805) 983-1009

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

2795 Loma Vista Rd
Ventura, CA 93003
Phone (805) 643-8695

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1063874840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 280",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307645",
            "telephone_number": "805-384-8071",
            "fax_number": "805-278-6477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. John's Pleasant Valley Hospital - 2309 Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "93010",
            "country_code": "US",
            "telephone_number": "805-389-5800",
            "fax_number": "805-256-7840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Regional Medical Center - 1600 N Rose Avenue",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93030",
            "country_code": "US",
            "telephone_number": "805-988-2500",
            "fax_number": "805-256-7840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSUI",
        "first_name": "ILENE",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-09-28",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A154639",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A154639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.