Jeffrey Tseng, MD, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A101924 Issued in CA

Legal business name

JEFFREY TSENG, MD, INC.

Practice address

2220 Lynn Rd
Suite 109
Thousand Oaks, CA 91360-1904

Phone

(805) 496-8103

Fax

(805) 496-9661

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Tseng, M.D.NPI 1205990868

Title

President

Phone

(805) 338-2616

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Jeffrey Tseng, M.D.

  • Otolaryngology Physician
  • Thousand Oaks, CA
  • NPI 1205990868
  Medicare reassignment Authorized official
• Edwin T Tseng, M.D.

  • Specialist
  • Thousand Oaks, CA
  • NPI 1609897271
  NPD (past)

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1124387014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 109",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-496-8103",
            "fax_number": "805-496-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 109",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-496-8103",
            "fax_number": "805-496-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY TSENG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-338-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A101924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "CJ469A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Jeffers
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• Jeffrey L Sycamore MD a Professional Corporation
• Jeffrey P. Block M. D., Apc
• Jeffrey S Hurless DPM a Professional Podiatry Corporation
• Elspeth Martin Jellison
• Jennifer L. Graves, D.D.S., Inc.
• Jennifer S Young DO, Inc.
• Jennifer Su'Apa'Ia Individual and Family Therapy
• Kara Jensen

• Medical Specialty Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.