Individual provider Active NPI

Jonathan Torregosa Tiongson, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1487607685
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4600 Issued in CA
Practice address
11633 San Vicente Blvd
Suite 200
Los Angeles, CA 90049-6511
Phone
(310) 442-1975
Fax
(310) 442-1977
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4600 CA Primary

Addresses

Primary practice location

11633 San Vicente Blvd
Suite 200
Los Angeles, CA 90049-6511

Mailing address

11633 San Vicente Blvd
Suite 200
Los Angeles, CA 90049-6511
Phone (310) 442-1975

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000470 CA Practitioner - Podiatry 8921071499 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA; Stockton, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11633 San Vicente Blvd
Suite 200
Los Angeles, CA 90049-6513
Phone (310) 442-1975

17215 Studebaker Rd
Cerritos, CA 90703-2521

1755 W Hammer Lane
7B
Stockton, CA 95209-2900
Phone (310) 339-2947

425 W Bonita Ave
Suite 110
San Dimas, CA 91773-2543

5553 W 6TH St
Apt 2204
Los Angeles, CA 90036-7503

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue8656
Removal or shaving of skin growth196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2216MAMDBehavioral Analyst
E4600CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
West la Foot Doctor Inc. CurrentSince Mar 21, 2015 Accepting new patients
Jeffrey Demian Inc CurrentSince Dec 1, 2023 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist Past Accepting new patients
Brockton Podiatry Group a Prof Corp PastSince Feb 9, 2009 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Medamerica Physician Solutions PC Podiatrist PastSince May 1, 2021 Accepting new patients
Orange County Foot and Ankle Group, Inc. Podiatrist Past Accepting new patients
American Podiatry Corporation Podiatrist PastSince Apr 1, 2006 Accepting new patients

Locations

17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511

561 N Alta Ave
Ste A
Dinuba, CA 93618
Phone (559) 596-3022

1075 Bonita Ave
La Verne, CA 91750
Phone (909) 223-3314

11633 San Vicente Blvd
Ste 200
Los Angeles, CA 90049
Phone (310) 339-2947

425 W Bonita Ave
Ste 110
San Dimas, CA 91773
Phone (800) 233-1540

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1487607685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496511",
            "telephone_number": "310-442-1975",
            "fax_number": "310-442-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496511",
            "telephone_number": "310-442-1975",
            "fax_number": "310-442-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIONGSON",
        "first_name": "JONATHAN",
        "middle_name": "TORREGOSA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.