Ellick Tsang M D Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A053928 Issued in CA

Legal business name

ELLICK TSANG M D CORPORATION

Practice address

1800 Sullivan Ave
Suite 304
Daly City, CA 94015-2228

Phone

(650) 992-8484

Fax

(650) 992-8480

NPI assigned

Apr 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ellick Tsang, M.D.

Title

President

Phone

(650) 992-8484

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Nang Lok Ellick Tsang, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1992873723
  Medicare reassignment NPD

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1114161205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 26TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321545",
            "telephone_number": "650-992-8484",
            "fax_number": "650-992-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 304",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "650-992-8484",
            "fax_number": "650-992-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICK TSANG M D CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "TSANG",
        "authorized_official_first_name": "ELLICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-992-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053928",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A053928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Stock Eggers
• Nancy Lahey Ehat, OTR/L
• Muhammad Nasser Elbgal, LCSW
• Eleanor S Tucker, DDS
• Elite Prime Care
• Dara Bu Elliott
• Laurel M Elliott, LMFT #141619
• Aragon Ellwanger
• Angela Embalzado
• Nitarin Emmanuel

• Internal Medicine Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.