Active NPI
Liane Christine Tongol, PA-C
- Physician Assistant
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56817
- Practice address
- 625 Lincoln Ave
San Jose, CA 95126-3785 - Phone
- (408) 871-5260
- NPI assigned
- May 24, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA56817 | CA | Primary |
Addresses
Primary practice location
625 Lincoln Ave
San Jose, CA 95126-3785
Mailing address
5174 Zinfandel LN
Vallejo, CA 94591-6329
Phone (707) 319-8128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 W Hungtington Dr
Arcadia, CA 91007-3050
1450 San Pablo St
Los Angeles, CA 90033-4500
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA56817 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| El Camino Health Medical Group | Past | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
125 W Huntington Dr
Bldg A
Arcadia, CA 91007
Phone (626) 574-2710
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1518 San Pablo St
Ste 3500
Los Angeles, CA 90033
1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500
1520 San Pablo St
Lowr
Los Angeles, CA 90033
Phone (323) 442-7450
1450 San Pablo St
Ste 6200
Los Angeles, CA 90033
Phone (323) 442-7920
1441 Eastlake Ave
Los Angeles, CA 90089
Phone (323) 865-3000
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
625 S Fair Oaks Ave
Ste 400
Pasadena, CA 91105
Phone (626) 568-1622
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676
Organizations & group practices 11
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1558749440
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Geriatric Medicine (Family Medicine) Physician
- Los Gatos, CA
- NPI 1578831764
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1447817309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5174 ZINFANDEL LN",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916329",
"telephone_number": "707-319-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 LINCOLN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951263785",
"telephone_number": "408-871-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONGOL",
"first_name": "LIANE CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.