Individual provider Active NPI

Thomas J Tsou, M.D.

  • Specialist
  • Anaheim, CA
National Provider Identifier
1316981277
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
330872922 Issued in CA
Practice address
3400 W Ball Rd Ste 103
Anaheim, CA 92804-3735
Phone
(714) 827-1212
Fax
(714) 827-0843
NPI assigned
Jun 15, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 330872922 CA Primary

Addresses

Primary practice location

3400 W Ball Rd Ste 103
Anaheim, CA 92804-3735

Mailing address

3400 W Ball Rd Ste 103
Anaheim, CA 92804-3735
Phone (714) 827-1212

Other identifiers 2

IdentifierTypeStateIssuer
00A329270MedicaidCA
A32927OtherCAMEDICAL LICENSE

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
I20041208001141 CA Practitioner - Emergency MedicinePractitioner - Allergy/Immunology 7719943968 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32927CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Emergency Medical Associates CurrentSince Aug 23, 2011 Accepting new patients
Redondo Emergency Physicians, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1316981277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043735",
            "telephone_number": "714-827-1212",
            "fax_number": "714-827-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043735",
            "telephone_number": "714-827-1212",
            "fax_number": "714-827-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOU",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "330872922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A329270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A32927",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.