Active NPI
Gary Tong, M.D., PH.D.
- Neurology Physician
- San Diego, CA
National Provider Identifier
1376578666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A63920
- Practice address
- 200 W Arbor Dr
Ucsd Medical Center, Mc8201
San Diego, CA 92103-9001 - Phone
- (858) 657-8540
- Fax
- (858) 543-3183
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A63920 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
Ucsd Medical Center, Mc8201
San Diego, CA 92103-9001
Mailing address
10503 Abalone Landing Ter
San Diego, CA 92130-8711
Phone (858) 646-3113
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
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376578666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 ABALONE LANDING TER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921308711",
"telephone_number": "858-646-3113",
"fax_number": "858-795-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "UCSD MEDICAL CENTER, MC8201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "858-657-8540",
"fax_number": "858-543-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A63920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.