Organization Active NPI

Tristyn St Thomas-Achoja, MD, Inc, a Professional Medical Corporation

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1093475303
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TRISTYN ST THOMAS-ACHOJA, MD, INC, A PROFESSIONAL MEDICAL CORPORATION
Practice address
1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805
Phone
(714) 408-9481
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Tristyn V St. Thomas-Achoja, MDNPI 1306256490
Title
Ceo/President
Phone
(949) 588-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805

Mailing address

5 Holland
Suite 101
Irvine, CA 92618-2568
Phone (949) 588-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105002565 CA Part B Supplier - Clinic/Group Practice 7810388600 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, CA; Los Angeles, CA; La Palma, CA; Garden Grove, CA; Huntington Beach, CA; Anaheim, CA

National Provider Directory

National Provider Directory

Locations

5505 E Santa Ana Canyon Rd
Unit 18028
Anaheim, CA 92817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1093475303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W ROMNEYA DR",
            "address_2": "SUITE F",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011805",
            "telephone_number": "714-408-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTYN ST THOMAS-ACHOJA, MD, INC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ST. THOMAS-ACHOJA",
        "authorized_official_first_name": "TRISTYN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.