Individual provider Active NPI

Chris Tenore, MD

  • Pediatrics Physician
  • Orange, CA
National Provider Identifier
1326428970
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A166890 Issued in CA
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

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419000225 CA Practitioner - Pediatric Medicine 8224341144 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166890CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc. CurrentSince Dec 20, 2020 Accepting new patients
Marque Medical Clinic, Inc CurrentSince Dec 20, 2020 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.

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

Verify at the official NPI Registry.