Active NPI
Franklin Mung Tse, PA-C
- Physician Assistant
- Perris, CA
National Provider Identifier
1457431348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17998
- Practice address
- 1675 N Perris Blvd
Perris, CA 92571-4726 - Phone
- (951) 956-2400
- Fax
- (951) 956-2345
- NPI assigned
- Oct 16, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17998 | CA | Primary |
Addresses
Primary practice location
1675 N Perris Blvd
Perris, CA 92571-4726
Mailing address
1675 N Perris Blvd
Perris, CA 92571-4726
Phone (951) 956-2400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M VLY EFF: 2/20/13 | Medicaid | CA | |
| EFF:4/8/13 RIALTO | Medicaid | CA | |
| P01288533/ DU4034 | Other | CA | RAILROAD MEDICARE- MORENO VALLEY |
| P01288533/ DU5182 | Other | CA | RAILROAD MEDICARE- COLTON, VICTORVILLE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17998 | CA | MD | Physical Therapist |
| PA17998 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients |
Locations
1675 N Perris Blvd
Ste G1
Perris, CA 92571
Phone (730) 736-6700
150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700
Interoperability endpoints
- ftse313257@direct.ochin.org
Organizations & group practices 4
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.
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
-
dba TrueCare
- Federally Qualified Health Center (FQHC)
- Oceanside, CA
- NPI 1720233893
-
dba Tri-City Medical Center
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647648000000",
"number": "1457431348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 N PERRIS BLVD",
"city": "PERRIS",
"state": "CA",
"postal_code": "925714726",
"telephone_number": "951-956-2400",
"fax_number": "951-956-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 N PERRIS BLVD",
"city": "PERRIS",
"state": "CA",
"postal_code": "925714726",
"telephone_number": "951-956-2400",
"fax_number": "951-956-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "FRANKLIN",
"middle_name": "MUNG",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M VLY EFF: 2/20/13",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EFF:4/8/13 RIALTO",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- MORENO VALLEY",
"identifier": "P01288533/ DU4034",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- COLTON, VICTORVILLE",
"identifier": "P01288533/ DU5182",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.