Brian H Tong, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95026808 Issued in CA

Practice address

822 S Robertson Blvd
Los Angeles, CA 90035-1613

Phone

(310) 651-6937

NPI assigned

Aug 28, 2023

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Doctor Charles Gruver, Incorporated

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1639784978
  NPD
• Doctor Joseph Enayati, Inc

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
  • NPI 1790183648
  NPD (past)
• Santosha Aesthetics, Inc.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1679096150
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1235914391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351630",
            "telephone_number": "310-651-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-651-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "BRIAN",
        "middle_name": "H",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-11-29",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoang Tich Ton, M.D.
• Nader Tondravi, M.D.
• Lauren Toneck, NP
• Christina Mary Toner
• Anna M Tong, O.D.
• Dennis Chia-Cheh Tong, M.D.
• Elizabeth Larissa Tong, DDS
• Garrison Matthew Tong, MD
• Gregory Elbert Tong, M.D.
• Marvin Tong, DDS

• Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.