Active NPI
Graham C Tse, MD
- Pediatric Critical Care Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1093816613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- A62058
- Practice address
- 17100 Euclid St
Department Picu/Peds
Fountain Valley, CA 92708 - Phone
- (714) 966-7253
- Fax
- (714) 966-3354
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | A62058 | CA | Primary |
Addresses
Primary practice location
17100 Euclid St
Department Picu/Peds
Fountain Valley, CA 92708
Mailing address
17100 Euclid St
Department Picu/Peds
Fountain Valley, CA 92708
Phone (714) 966-7253
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 |
|---|---|---|---|
| A62058 | CA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Specialty Medical Group | Current | Accepting new patients | |
| South Counties Pediatric Critical Care Medical Group | Pediatric Critical Care Medicine | Past | Accepting new patients |
Locations
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
Interoperability endpoints
- gtsemd16411@direct.memorialcare.org
Organizations & group practices 2
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.
-
- Urology Physician
- Long Beach, CA
- NPI 1033709720
-
- Pediatric Critical Care Medicine Physician
- Fountain Valley, CA
- NPI 1609853688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1093816613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"address_2": "DEPARTMENT PICU/PEDS",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "714-966-7253",
"fax_number": "714-966-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"address_2": "DEPARTMENT PICU/PEDS",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "714-966-7253",
"fax_number": "714-966-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "GRAHAM",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A62058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.