NPIMap

Individual provider Active NPI

Thomas G. Hirose, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Laguna Hills, CA
National Provider Identifier
1114960861
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G66676 Issued in CA
Practice address
24407 Calle de la Louisa Ste 100
Laguna Hills, CA 92653-3650
Phone
(949) 581-0555
Fax
(949) 581-7555
NPI assigned
Jun 13, 2006
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X G66676 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G66676 CA Primary

Addresses

Primary practice location

24407 Calle de la Louisa Ste 100
Laguna Hills, CA 92653-3650

Mailing address

24407 Calle de la Louisa Ste 100
Laguna Hills, CA 92653-3650
Phone (949) 310-5700

Other identifiers 1

IdentifierTypeStateIssuer
00G666760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000888 CA Practitioner - Pathology 6002853439 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Loma Linda University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

Practice addresses (Care Compare)

24407 Calle de la Louisa
Suite 100
Laguna Hills, CA 92653-3650
Phone (949) 581-0555

24451 Health Ctr Dr
Laguna Hills, CA 92653-3689
Phone (310) 225-3244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tma Coagulation Specialists Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2016 Accepting new patients
Thomas G Hirose MD Apc Blood Banking & Transfusion Medicine CurrentSince Apr 15, 2005 Accepting new patients
County of Los Angeles CurrentSince Apr 4, 2015 Accepting new patients
County of Los Angeles CurrentSince Apr 4, 2015 Accepting new patients
County of Los Angeles Current Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Thomas G Hirose, M.D. Apc Laboratory Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
LDL Apheresis Services Blood Banking & Transfusion Medicine Past Accepting new patients
California Molecular Reference Laboratories PastSince Jun 27, 2010 Accepting new patients
Soc Pathology Medical Group Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients
California Cancer Specialists Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

851 Burlway Rd
Ste 308
Burlingame, CA 94010
Phone (650) 347-9200

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

24407 Calle de la Louisa
Ste 100
Laguna Hills, CA 92653
Phone (949) 581-0555

24421 Calle de la Louisa
Laguna Hills, CA 92653
Phone (949) 458-1288

24421 Calle de la Louisa
Ste 100
Laguna Hills, CA 92653
Phone (310) 521-3560

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

647 Camino de los Mares
Ste 223
San Clemente, CA 92673
Phone (949) 487-5100

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

24445 Hawthorne Blvd
Ste 206
Torrance, CA 90505
Phone (310) 373-5700

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJEAA/Endpoint/FIJEAA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1114960861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24407 CALLE DE LA LOUISA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533650",
            "telephone_number": "949-310-5700",
            "fax_number": "310-373-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24407 CALLE DE LA LOUISA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533650",
            "telephone_number": "949-581-0555",
            "fax_number": "949-581-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIROSE",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "CA",
            "license": "G66676",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G66676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.