Individual provider Active NPI

Carolyn Tongson

  • Dermatology Physician
  • Los Gatos, CA
National Provider Identifier
1326479650
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22908 Issued in CA
Practice address
800 Pollard Rd
BLDG a
Los Gatos, CA 95032-1415
Phone
(408) 688-2082
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22908 CA Primary

Addresses

Primary practice location

800 Pollard Rd
BLDG a
Los Gatos, CA 95032-1415

Mailing address

800 Pollard Rd
BLDG a
Los Gatos, CA 95032-1415
Phone (408) 688-2082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22908CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Sweet Care Homes, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1326479650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD",
            "address_2": "BLDG A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321415",
            "telephone_number": "408-688-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD",
            "address_2": "BLDG A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321415",
            "telephone_number": "408-688-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGSON",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "22908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.