NPIMap

Individual provider Active NPI

Pin-Hung Hsieh, M.D.

  • Internal Medicine Physician
  • Tustin, CA
National Provider Identifier
1144323064
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A062358 Issued in CA
Practice address
13522 Newport Ave Ste 102
Tustin, CA 92780-3707
Phone
(714) 573-8200
Fax
(714) 573-9401
NPI assigned
Sep 6, 2006
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A062358 CA Primary

Addresses

Primary practice location

13522 Newport Ave Ste 102
Tustin, CA 92780-3707

Mailing address

PO Box 15090
Anaheim, CA 92803-5090
Phone (714) 577-2124

Other identifiers 2

IdentifierTypeStateIssuer
GN396ZMedicaidCA
00A062358MedicaidCA

Other names 1

  • Dr. Paul Hsieh Other name

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
I20050307000309 CA Practitioner - Internal Medicine 5193779940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 573-8200

999 N Tustin Ave
Suite 1
Santa Ana, CA 92705-3530
Phone (714) 836-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A062358CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chest and Critical Care Consultants a Medical Group Internal Medicine CurrentSince Aug 12, 2012 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gordon Lane Care CenterFullerton, CA, CCN 555797 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2014
Nov 1, 2014
Advantage Health SystemsCosta Mesa, CA, CCN 921732 Hospice Contracted Managing Employee Dec 14, 2017
Advocare Hospice IncGarden Grove, CA, CCN A01530 Hospice Contracted Managing Employee Jan 1, 2020
California Hospice Services, IncNorwalk, CA, CCN A01735 Hospice Contracted Managing Employee Feb 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1144323064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15090",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928035090",
            "telephone_number": "714-577-2124",
            "fax_number": "714-577-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13522 NEWPORT AVE STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803707",
            "telephone_number": "714-573-8200",
            "fax_number": "714-573-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "PIN-HUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A062358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GN396Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A062358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "HSIEH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.