NPIMap

Individual provider Active NPI

Daryl Kuei-Shann Tsai, M.D.

  • Pediatrics Physician
  • Chino Hills, CA
National Provider Identifier
1447235080
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A00067478 Issued in CA
Practice address
15944 Los Serranos Country Club Dr
Suite 220
Chino Hills, CA 91709-3991
Phone
(909) 393-6202
Fax
(909) 393-6204
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A00067478 CA Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr
Suite 220
Chino Hills, CA 91709-3991

Mailing address

15944 Los Serranos Country Club Dr
Suite 220
Chino Hills, CA 91709-3991
Phone (909) 393-6202

Other identifiers 2

IdentifierTypeStateIssuer
00A674780MedicaidCA
1447235080MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A00067478CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Pediatric Medical Group Pediatrics Past Accepting new patients
Primecare Medical Group Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1447235080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR",
            "address_2": "SUITE 220",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093991",
            "telephone_number": "909-393-6202",
            "fax_number": "909-363-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR",
            "address_2": "SUITE 220",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093991",
            "telephone_number": "909-393-6202",
            "fax_number": "909-393-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "DARYL",
        "middle_name": "KUEI-SHANN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A00067478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674780",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447235080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.