Active NPI
Katy Tsung, FNP
- Family Nurse Practitioner
- West Covina, CA
National Provider Identifier
1437741246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95016018
- Practice address
- 2707 E Valley Blvd Ste 116
West Covina, CA 91792-3196 - Phone
- (626) 581-1000
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95016018 | CA | Primary |
Addresses
Primary practice location
2707 E Valley Blvd Ste 116
West Covina, CA 91792-3196
Mailing address
2707 E Valley Blvd
West Covina, CA 91792-3195
Phone (626) 243-7134
Other names 1
- Katy Tsung
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016018 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smartclinic Inc | Single Specialty | Current | Accepting new patients |
Locations
2707 E Valley Blvd
Ste 116
West Covina, CA 91792
Phone (626) 581-1000
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": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1437741246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 E VALLEY BLVD",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917923195",
"telephone_number": "626-243-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 E VALLEY BLVD STE 116",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917923196",
"telephone_number": "626-581-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUNG",
"first_name": "KATY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95016018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATY",
"last_name": "TSUNG",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.