Prometheus Medical Innovations a California Professional Medical Co

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

PROMETHEUS MEDICAL INNOVATIONS A CALIFORNIA PROFESSIONAL MEDICAL CO

Practice address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Phone

(925) 588-6551

Fax

(925) 852-1667

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Wilson Shu-Chun Tsai, MD

Title

MD/Owner

Phone

(925) 588-6551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilson Shu-Chun Tsai, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Walnut Creek, CA
  • NPI 1609035666
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1497515167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALAMO PLZ UNIT 180",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945074008",
            "telephone_number": "925-588-6551",
            "fax_number": "925-852-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-588-6551",
            "fax_number": "925-852-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMETHEUS MEDICAL INNOVATIONS A CALIFORNIA PROFESSIONAL MEDICAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "WILSON SHU-CHUN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "925-588-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiala Price, N.P.
• Logan Price
• Primary Care of Walnut Creek
• Stewart Proctor, PH.D.
• Prohealth Home Care Inc
• Prosperity Therapy Services, Inc.
• Rayvon Prosser-Smith
• Nick Prouty
• Mark J. Provda, MD
• Prsca Medical Group PC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.