Organization Active NPI

Chai-Yung J. Tsai, M.D. a Professional Corporation

Doing business as Portola Direct Primary Care

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1366747586
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHAI-YUNG J. TSAI, M.D. A PROFESSIONAL CORPORATION
Doing business as
Portola Direct Primary Care
Practice address
3943 Irvine Blvd
PMB 136
Irvine, CA 92602-2400
Phone
(949) 346-4456
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Chai-Yung J Tsai, M.D.
Title
President
Phone
(949) 346-4456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3943 Irvine Blvd
PMB 136
Irvine, CA 92602-2400

Mailing address

3943 Irvine Blvd
PMB 136
Irvine, CA 92602-2400

Other names 1

  • Portola Direct Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

1730 Huntington Dr
Ste 204
South Pasadena, CA 91030
Phone (626) 376-4486

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1366747586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD",
            "address_2": "PMB 136",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD",
            "address_2": "PMB 136",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "949-346-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAI-YUNG J. TSAI, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "CHAI-YUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-346-4456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portola Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.