TCS Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A24881 Issued in CA

Legal business name

TCS MEDICAL GROUP INC

Practice address

821 Cherryhill TRL
Redding, CA 96003-2834

Phone

(530) 605-8013

Fax

(866) 647-3121

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas H McConnell, MD

Title

President

Phone

(530) 605-8013

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Robert Clark Boyle, PSY.D

  • Psychologist
  • Redding, CA
  • NPI 1164633756
  NPD (past)
• Ellie M Fong, PA-C

  • Physician Assistant
  • Seal Beach, CA
  • NPI 1831251990
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1154404085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991826",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991826",
            "telephone_number": "530-244-5833",
            "fax_number": "866-647-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CHERRYHILL TRL",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032834",
            "telephone_number": "530-605-8013",
            "fax_number": "866-647-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010852",
            "country_code": "US",
            "telephone_number": "530-605-8013",
            "fax_number": "866-647-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Elm Ave Ste 318",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061600",
            "country_code": "US",
            "telephone_number": "562-427-0981",
            "fax_number": "562-492-9868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TCS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-605-8013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A24881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NO CA",
            "identifier": "CE998A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Taylor
• Kater Lee Taylor
• Kirk Edward Taylor, PHARMD
• Parvez Taylor, DDS
• Ray Taylor, MS
• Matthew William Teague, D.D.S
• Dona Rebecca Tegerstrand, CFO
• Justin Michael Tegerstrand, CPO
• Omar Tejada
• Elizabeth Lynn Tellez, RN

• Specialist in Redding, CA
• Providers in Redding, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.