Active NPI
Roberto Cazar Tongson, M.D.
- Specialist
- King City, CA
National Provider Identifier
1467450676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00A54183
- Practice address
- 212 Bassett St
King City, CA 93930-2943 - Phone
- (831) 386-9542
- Fax
- (831) 386-0864
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 00A54183 | CA | Primary |
Addresses
Primary practice location
212 Bassett St
King City, CA 93930-2943
Mailing address
212 Bassett St
King City, CA 93930-2943
Phone (831) 386-9542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A541831 | Medicaid | CA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100726000029 | CA | Practitioner - Internal Medicine | 0941332092 | Practice locations: King City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
212 Bassett St
King City, CA 93930-2943
Phone (831) 386-9542
Hospital & facility affiliations
- Choice Home Health Care
- Central Coast Vna & Hospice, Inc
- Inhome Healthcare Services
- Southern Monterey County Memorial Hospital
- Salinas Valley Health Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A54183 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Monterey County Memorial Hospital | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monterey, CA
- NPI 1093718884
-
- Home Health Agency
- Monterey, CA
- NPI 1558392209
-
- Home Health Agency
- Monterey, CA
- NPI 1235370107
-
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1467450676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BASSETT ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939302943",
"telephone_number": "831-386-9542",
"fax_number": "831-386-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BASSETT ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939302943",
"telephone_number": "831-386-9542",
"fax_number": "831-386-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONGSON",
"first_name": "ROBERTO",
"middle_name": "CAZAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "00A54183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A541831",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.