Individual provider Active NPI

Roberto Cazar Tongson, M.D.

  • Specialist
  • King City, CA
National Provider Identifier
1467450676
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A54183 Issued in CA
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

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A541831MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A54183CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.