Individual provider Active NPI

Jonelon Gabriel Tsang, MBBS

  • Pain Medicine (Anesthesiology) Physician
  • San Jose, CA
National Provider Identifier
1245499045
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A153286 Issued in CA
Practice address
2101 Forest Ave Ste 220a
San Jose, CA 95128
Phone
(408) 295-8628
Fax
(408) 295-8061
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A153286 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A153286 CA Primary

Addresses

Primary practice location

2101 Forest Ave Ste 220a
San Jose, CA 95128

Mailing address

2101 Forest Ave Ste 220a
San Jose, CA 95128-1473
Phone (408) 295-8628

Other practice location 1

2101 Forest Ave Ste 220A
San Jose, CA 95128
Phone (408) 295-8628

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180507001701 CA Practitioner - Interventional Pain Management 3678703733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Justin Lo MD a Professional Medical CorporationGroup PAC ID 6800076878, 3 clinicians

Practice addresses (Care Compare)

2101 Forest Ave
Suite 220a
San Jose, CA 95128-1473
Phone (408) 295-8628

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
24.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153286CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Lo MD a Professional Medical Corporation CurrentSince Apr 15, 2018 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

2101 Forest Ave
Ste 220A
San Jose, CA 95128
Phone (408) 295-8628

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jtsang126067@santaclaravalley.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1245499045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 220A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281473",
            "telephone_number": "408-295-8628",
            "fax_number": "408-295-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 220A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-295-8628",
            "fax_number": "408-295-8061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Forest Ave Ste 220A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95128",
            "country_code": "US",
            "telephone_number": "408-295-8628",
            "fax_number": "408-295-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSANG",
        "first_name": "JONELON",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A153286",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A153286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.