Individual provider Active NPI

Jill Tseng, M.D.

  • Gynecologic Oncology Physician
  • Orange, CA
National Provider Identifier
1265759807
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A156171 Issued in CA
Practice address
101 The City Drive South
Pav III, BLDG 29, Suite 501
Orange, CA 92868-5900
Phone
(714) 456-8000
Fax
(714) 456-8055
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X A156171 CA Primary

Addresses

Primary practice location

101 The City Drive South
Pav III, BLDG 29, Suite 501
Orange, CA 92868-5900

Mailing address

333 City Blvd W Ste 1400
Orange, CA 92868-5900
Phone (714) 456-8020

Other practice location 1

24411 Health Center Dr Ste 610
Laguna Hills, CA 92653-3672
Phone (949) 452-7277

Other practice location 2

1000 W La Veta Ave Fl 1
Orange, CA 92868-4304
Phone (714) 734-6294

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
I20180803001243 CA Practitioner - Gynecological Oncology 2264780444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Toledo Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 0143128009, 51 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of the uterus21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156171CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Single Specialty CurrentSince Aug 15, 2018 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 4
Laguna Hills, CA 92653

24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240

2810 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 933-1877

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1000 W La Veta Ave
Fl 1
Orange, CA 92868
Phone (714) 734-6294

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

1000 W La Veta Ave
Ste 420
Orange, CA 92868

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Ste 501
Orange, CA 92868

Organizations & group practices 3

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 5

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1265759807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W STE 1400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685900",
            "telephone_number": "714-456-8020",
            "fax_number": "714-456-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DRIVE SOUTH",
            "address_2": "PAV III, BLDG 29, SUITE 501",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685900",
            "telephone_number": "714-456-8000",
            "fax_number": "714-456-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24411 Health Center Dr Ste 610",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533672",
            "country_code": "US",
            "telephone_number": "949-452-7277",
            "fax_number": "949-452-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W La Veta Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684304",
            "country_code": "US",
            "telephone_number": "714-734-6294",
            "fax_number": "714-734-6231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSENG",
        "first_name": "JILL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A156171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.