Ivy Tuason

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

12932 Issued in CA

Practice address

13768 Roswell Ave
Chino, CA 91710-1401

Phone

(909) 591-0844

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Total Renal Care Inc

  dba Kelley Corners Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake City, SC
  • NPI 1598204802
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1174976559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 E RANCHO PARK CIR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305671",
            "telephone_number": "909-525-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-591-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUASON",
        "first_name": "IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "12932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Truong
• Quy Minh Truong, PMHNP-BC
• Betty PO Tsang, D.O.
• Ricky Tsao
• Susan Tseng
• Dylan Joseph Tunnermann
• Samantha Jeanne Twigg
• Steven Twigg
• U.S. Healthworks Medical Group, PC
• U.S. Healthworks Medical Group, PC

• Primary Care Nurse Practitioner in Chino, CA
• Providers in Chino, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.