Individual provider Active NPI

Franklin Mung Tse, PA-C

  • Physician Assistant
  • Perris, CA
National Provider Identifier
1457431348
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17998 Issued in CA
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

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M VLY EFF: 2/20/13MedicaidCA
EFF:4/8/13 RIALTOMedicaidCA
P01288533/ DU4034OtherCARAILROAD MEDICARE- MORENO VALLEY
P01288533/ DU5182OtherCARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130307000129 CA Practitioner - Physician Assistant 9931354404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17998CAMDPhysical Therapist
PA17998CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Aug 10, 2019 Accepting new patients
North County Health Project Inc CurrentSince Aug 10, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.