Organization Active NPI

David E Tsong MD Inc

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1376656405
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G24898 Issued in CA
Legal business name
DAVID E TSONG MD INC
Practice address
17822 Beach Blvd Ste 352
Huntington Beach, CA 92647-7176
Phone
(714) 848-8131
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. David E Tsong, M.D.NPI 1942228739
Title
President
Phone
(714) 848-8131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G24898 CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 352
Huntington Beach, CA 92647-7176

Mailing address

17822 Beach Blvd Ste 352
Huntington Beach, CA 92647-7176

Other identifiers 1

IdentifierTypeStateIssuer
G24898MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061010000520 CA Part B Supplier - Clinic/Group Practice 0941206262 Receives reassigned benefits from 1 practitioner
Practice locations: Gardena, CA; Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

1300 W 155th St
Ste 205
Gardena, CA 90247
Phone (323) 321-6262

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1376656405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 352",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 352",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477176",
            "telephone_number": "714-848-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E TSONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "TSONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-848-8131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G24898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G24898",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.