Active NPI
Tuan To
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1255696183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30204
- Practice address
- 7011 Linda Vista Rd
San Diego, CA 92111 - Phone
- (858) 810-8787
- Fax
- (858) 987-5825
- NPI assigned
- Jul 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30204 | CA | Primary |
Addresses
Primary practice location
7011 Linda Vista Rd
San Diego, CA 92111
Mailing address
7011 Linda Vista Rd
San Diego, CA 92111-6307
Phone (858) 810-8787
Other practice location 1
835 3rd Ave
Chula Vista, CA 91911-1352
Phone (619) 427-4661
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181120001832 | CA | Order and Referring Only - Clinical Psychologist | 6204180706 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1255696183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7011 LINDA VISTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116307",
"telephone_number": "858-810-8787",
"fax_number": "858-987-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 LINDA VISTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "858-810-8787",
"fax_number": "858-987-5825"
}
],
"practiceLocations": [
{
"address_1": "835 3rd Ave",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919111352",
"country_code": "US",
"telephone_number": "619-427-4661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TO",
"first_name": "TUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.