Organization Active NPI

William J Tsai MD Inc

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1114277738
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71679 Issued in CA
Legal business name
WILLIAM J TSAI MD INC
Practice address
19742 Macarthur Blvd
Suite 101
Irvine, CA 92612-2432
Phone
(949) 955-0202
Fax
(949) 955-0203
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. William Jen Tsai, M.D.NPI 1952356560
Title
Pres/Ceo
Phone
(949) 955-0202

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
Internal Medicine Physician 207R00000X A71679 CA Primary

Addresses

Primary practice location

19742 Macarthur Blvd
Suite 101
Irvine, CA 92612-2432

Mailing address

19742 Macarthur Blvd
Suite 101
Irvine, CA 92612-2432
Phone (949) 955-0202

Other identifiers 1

IdentifierTypeStateIssuer
00A716790MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000671 CA Part B Supplier - Clinic/Group Practice 2466601331 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

19742 MacArthur Blvd
Ste 101
Irvine, CA 92612
Phone (949) 955-0202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1114277738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122432",
            "telephone_number": "949-955-0202",
            "fax_number": "949-955-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122432",
            "telephone_number": "949-955-0202",
            "fax_number": "949-955-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J TSAI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEN",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "949-955-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A716790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.