Active NPI
Chris Tenore, MD
- Pediatrics Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A166890
- Practice address
- 1202 West la Veta Ave
Orange, CA 92868-3874 - Phone
- (714) 997-3000
- NPI assigned
- Jun 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Pediatrics Physician | 208000000X | A166890 | CA | Primary |
Addresses
Primary practice location
1202 West la Veta Ave
Orange, CA 92868-3874
Mailing address
1202 West la Veta Ave
Orange, CA 92868-3874
Other practice location 1
333 Cedar St
New Haven, CT 06510-3206
Phone (203) 688-1947
Other practice location 2
2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (949) 760-9222
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166890 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marque Medical Clinic, Inc. | Current | Accepting new patients | |
| Marque Medical Clinic, Inc | Current | Accepting new patients |
Locations
21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266
2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266
22461 Antonio Pkwy
Ste A135
Rancho Santa Margarita, CA 92688
Phone (949) 589-3344
10391 Magnolia Ave
Riverside, CA 92505
4490 Fanuel St
Ste 100
San Diego, CA 92109
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Newport Beach, CA
- NPI 1538466107
-
- Urgent Care Clinic/Center
- Chula Vista, CA
- NPI 1164303442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1326428970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 WEST LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 WEST LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683874",
"telephone_number": "714-997-3000"
}
],
"practiceLocations": [
{
"address_1": "333 Cedar St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103206",
"country_code": "US",
"telephone_number": "203-688-1947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2075 San Joaquin Hills Rd",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926606505",
"country_code": "US",
"telephone_number": "949-760-9222",
"fax_number": "949-579-2906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TENORE",
"first_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A166890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.