Organization Active NPI

Ke-Ping Tsao, MD

  • Specialist
  • San Luis Obispo, CA
National Provider Identifier
1093017121
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KE-PING TSAO, MD
Practice address
1035 Peach St
Suite 303
San Luis Obispo, CA 93401-2700
Phone
(805) 543-9377
Fax
(805) 543-1820
NPI assigned
Nov 22, 2010
Organization subpart
Yes
Parent organization
KE-PING TSAO, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Ke-Ping Tsao, MD
Title
Owner
Phone
(805) 543-9377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1035 Peach St
Suite 303
San Luis Obispo, CA 93401-2700

Mailing address

1035 Peach St
Suite 303
San Luis Obispo, CA 93401-2700
Phone (805) 543-9377

Other identifiers 2

IdentifierTypeStateIssuer
00A260710MedicaidCA
1902979636OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory
Part of
Ke-Ping Tsao MD

Locations

1035 Peach St
Ste 303
Sn Luis Obisp, CA 93401
Phone (805) 543-9377

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1093017121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PEACH ST",
            "address_2": "SUITE 303",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012700",
            "telephone_number": "805-543-9377",
            "fax_number": "805-543-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PEACH ST",
            "address_2": "SUITE 303",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012700",
            "telephone_number": "805-543-9377",
            "fax_number": "805-543-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KE-PING TSAO, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KE-PING TSAO, MD",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "TSAO",
        "authorized_official_first_name": "KE-PING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-543-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902979636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.