Individual provider Active NPI

Elysia Jane Tsai, M.ED., ATC

  • Athletic Trainer
  • Irvine, CA
National Provider Identifier
1477799252
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
069902730 Issued in CA
Practice address
32 Bonsall
Irvine, CA 92602-0950
Phone
(714) 809-5109
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 069902730 CA Primary

Addresses

Primary practice location

32 Bonsall
Irvine, CA 92602-0950

Mailing address

32 Bonsall
Irvine, CA 92602-0950
Phone (714) 809-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
069902730CAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1477799252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BONSALL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020950",
            "telephone_number": "714-809-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BONSALL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020950",
            "telephone_number": "714-809-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "ELYSIA",
        "middle_name": "JANE",
        "credential": "M.ED., ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "069902730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.