Active NPI
Good Shepherd Surgery Center Inc
- Pain Medicine (Anesthesiology) Physician
- Fountain Valley, CA
National Provider Identifier
1518677608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- GOOD SHEPHERD SURGERY CENTER INC
- Practice address
- 10760 Warner Ave Ste 102
Fountain Valley, CA 92708-3845 - Phone
- (714) 274-0388
- NPI assigned
- Nov 29, 2022
- Last updated
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yi Cai Isaac Tong, MD
- Title
- Doctor
- Phone
- (917) 745-6888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
10760 Warner Ave Ste 102
Fountain Valley, CA 92708-3845
Mailing address
PO Box 5566
Irvine, CA 92616-5566
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Kareo.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Riverside, CA
- NPI 1659678837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1518677608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5566",
"city": "IRVINE",
"state": "CA",
"postal_code": "926165566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10760 WARNER AVE STE 102",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083845",
"telephone_number": "714-274-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "TONG",
"authorized_official_first_name": "YI CAI ISAAC",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "917-745-6888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Kareo.com",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10760 Warner Ave Ste 102",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927083845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.