Individual provider Active NPI

Tomas Saucedo, M.D.

  • Specialist
  • Monterey Park, CA
National Provider Identifier
1104872787
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G45202 Issued in CA
Practice address
880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4700
Phone
(626) 289-0178
Fax
(626) 308-2083
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G45202 CA Primary

Addresses

Primary practice location

880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4700

Mailing address

880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4700
Phone (626) 289-0178

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000489 CA Practitioner - Orthopedic Surgery 2264496439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Orthopedic Medical AssociatesGroup PAC ID 1254340524, 6 clinicians

Practice addresses (Care Compare)

880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4782
Phone (626) 282-3577

Hospital & facility affiliations

  • Intermed Home Care Services Home health agency, El Monte, CA, CCN 557443
  • Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45202CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Orthopedic Medical Associates Specialist CurrentSince Oct 1, 1990 Accepting new patients
Associated Sports Therapy Medical Center Specialist CurrentSince Jan 1, 1990 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

880 S Atlantic Blvd
Ste 203
Monterey Park, CA 91754
Phone (626) 282-3577

850 S Atlantic Blvd
Ste 201
Monterey Park, CA 91754
Phone (626) 289-2894

880 S Atlantic Blvd
Ste 205
Monterey Park, CA 91754
Phone (626) 282-3577

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104872787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD",
            "address_2": "SUITE 205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544700",
            "telephone_number": "626-289-0178",
            "fax_number": "626-308-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD",
            "address_2": "SUITE 205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544700",
            "telephone_number": "626-289-0178",
            "fax_number": "626-308-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "TOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.