Active NPI
Kory Lee Tuominen, M.D.
- Family Medicine Physician
- Aliso Viejo, CA
National Provider Identifier
1215913876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A103333
- Practice address
- 26671 Aliso Creek Rd
Suite 304
Aliso Viejo, CA 92656-4809 - Phone
- (949) 556-3304
- Fax
- (949) 625-5289
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41754 | MN | |
| Family Medicine Physician | 207Q00000X | A103333 | CA | Primary |
Addresses
Primary practice location
26671 Aliso Creek Rd
Suite 304
Aliso Viejo, CA 92656-4809
Mailing address
26671 Aliso Creek Rd
Suite 304
Aliso Viejo, CA 92656-4809
Phone (949) 556-3304
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47D39TU | Other | BCBS | |
| 151339 | Other | UCARE | |
| MH9101025601 | Other | PREFERRED ONE | |
| 080173452 | Other | RAILROAD MEDICARE | |
| 0113155 | Other | MEDICA | |
| 279521300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Superior Ave
Suite 200
Newport Beach, CA 92663-3659
Phone (949) 629-2600
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41754 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Lake City | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1215913876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26671 ALISO CREEK RD",
"address_2": "SUITE 304",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926564809",
"telephone_number": "949-556-3304",
"fax_number": "949-625-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26671 ALISO CREEK RD",
"address_2": "SUITE 304",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926564809",
"telephone_number": "949-556-3304",
"fax_number": "949-625-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUOMINEN",
"first_name": "KORY",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "41754",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A103333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "47D39TU",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "151339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "MH9101025601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080173452",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0113155",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279521300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.