Individual provider Active NPI

Seiha Thorng, DPM

  • Foot & Ankle Surgery Podiatrist
  • Stockton, CA
National Provider Identifier
1104100221
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5293 Issued in CA
Practice address
420 W Acacia St Ste 18
Stockton, CA 95203-2441
Phone
(209) 425-4846
Fax
(209) 425-0570
NPI assigned
Oct 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1267 MA
Foot & Ankle Surgery Podiatrist 213ES0103X E5293 CA Primary

Addresses

Primary practice location

420 W Acacia St Ste 18
Stockton, CA 95203-2441

Mailing address

420 W Acacia St Ste 18
Stockton, CA 95203-2441
Phone (209) 425-4846

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220002429 CA Practitioner - Podiatry 1052532785 Reassigns benefits to 1 organization
Practice locations: Stockton, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 W Acacia St
Suite 18
Stockton, CA 95203-2441

75 W March LN
Suite J
Stockton, CA 95207-5729
Phone (209) 425-4846

Hospital & facility affiliations

  • Dameron Hospital Hospital, Stockton, CA, CCN 050122

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue132
Removal of nail tissue903
Removal or shaving of skin growth327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5293CAMDFoot & Ankle Surgery Podiatrist
1267MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
S&a Podiatry Clinic Inc Foot & Ankle Surgery CurrentSince Sep 11, 2021 Accepting new patients
Dameron Hospital Association Past Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients

Locations

75 W March Ln
Ste J
Stockton, CA 95207
Phone (209) 425-4846

75 W March Ln
Stockton, CA 95207
Phone (909) 659-3707

420 W Acacia St
Ste 18
Stockton, CA 95203
Phone (209) 425-4846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sthorng356447@hisp.ehr.sutterhealth.org
  • Direct secure messaging: seiha.thorng@saapci-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1104100221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST STE 18",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-425-4846",
            "fax_number": "209-425-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST STE 18",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-425-4846",
            "fax_number": "209-425-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNG",
        "first_name": "SEIHA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2021-10-12",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1267",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.