Active NPI
Irene Styadi Tsai, M.D.
- Pediatrics Physician
- San Bernardino, CA
National Provider Identifier
1073795027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A64461
- Practice address
- 685 Carnegie Dr
Ste. #230
San Bernardino, CA 92408-3502 - Phone
- (909) 890-0407
- NPI assigned
- Dec 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A64461 | CA | Primary |
Addresses
Primary practice location
685 Carnegie Dr
Ste. #230
San Bernardino, CA 92408-3502
Mailing address
685 Carnegie Dr
Ste. #230
San Bernardino, CA 92408-3502
Phone (909) 890-0407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64461 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196467200000",
"number": "1073795027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 CARNEGIE DR",
"address_2": "STE. #230",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083502",
"telephone_number": "909-890-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 CARNEGIE DR",
"address_2": "STE. #230",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083502",
"telephone_number": "909-890-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAI",
"first_name": "IRENE",
"middle_name": "STYADI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-01",
"last_updated": "2007-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A64461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.