Active NPI
Dominick W Tse, RPH
- Pharmacist
- Sunnyvale, CA
National Provider Identifier
1538461280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31763
- Practice address
- 639 S Bernardo Ave
Sunnyvale, CA 94087-1020 - Phone
- (408) 732-5902
- Fax
- (408) 732-5914
- NPI assigned
- Dec 1, 2010
- Last updated
- Nov 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31763 | CA | Primary |
Addresses
Primary practice location
639 S Bernardo Ave
Sunnyvale, CA 94087-1020
Mailing address
811 Hollenbeck Ave
Sunnyvale, CA 94087-1874
Phone (408) 636-6991
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31763 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1538461280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 HOLLENBECK AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871874",
"telephone_number": "408-636-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 S BERNARDO AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871020",
"telephone_number": "408-732-5902",
"fax_number": "408-732-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "DOMINICK",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-01",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "31763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.