Individual provider Active NPI

Tristyn Veronique St. Thomas-Achoja

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1306256490
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A160843 Issued in CA
Practice address
1211 W la Palma Ave Ste 209
Anaheim, CA 92801-2802
Phone
(877) 594-2787
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A160843 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 209
Anaheim, CA 92801-2802

Mailing address

4534 E Langdon Dr
Anaheim, CA 92807-2962

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20190830000968 CA Practitioner - Anesthesiology 7012245996 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Meharry Medical College School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of Orange County IncGroup PAC ID 9830289388, 16 clinicians
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (714) 774-1450

1301 N Rose Dr
Placentia, CA 92870-3802
Phone (714) 993-2000

1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805
Phone (714) 408-9481

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160843CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Oct 31, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Tristyn St Thomas-Achoja, MD, Inc, a Professional Medical Corporation Anesthesiology CurrentSince Sep 15, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Jan 12, 2023 Accepting new patients
Anesthesia Specialists of Orange County, Inc. Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
VP Anesthesia Partners, Inc Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Gary Chinghuei Kao MD Inc Anesthesiology Past Accepting new patients

Locations

1741 W Romneya Dr
Ste F
Anaheim, CA 92801
Phone (714) 408-9481

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

5505 E Santa Ana Canyon Rd
Unit 18028
Anaheim, CA 92817

1211 W La Palma Ave
Ste 209
Anaheim, CA 92801
Phone (714) 398-8180

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

1124 S Main St
Ste 102
Corona, CA 92882
Phone (951) 284-7180

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 9

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 7

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1306256490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 E LANGDON DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012802",
            "telephone_number": "877-594-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. THOMAS-ACHOJA",
        "first_name": "TRISTYN",
        "middle_name": "VERONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A160843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.