Organization Active NPI

William Tsai D O Inc

  • Family Medicine Physician
  • Upland, CA
National Provider Identifier
1598876856
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7115 Issued in CA
Legal business name
WILLIAM TSAI D O INC
Practice address
510 N 13TH Ave Ste 101
Upland, CA 91786-4973
Phone
(909) 985-8838
NPI assigned
Aug 31, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dr. William Tsai, D.O.NPI 1285620443
Title
Physician Owner
Phone
(909) 985-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A7115 CA Primary

Addresses

Primary practice location

510 N 13TH Ave Ste 101
Upland, CA 91786-4973

Mailing address

510 N 13TH Ave Ste 101
Upland, CA 91786-4973
Phone (909) 985-8838

Other identifiers 1

IdentifierTypeStateIssuer
00AX71150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000295 CA Part B Supplier - Clinic/Group Practice 1254590532 Receives reassigned benefits from 3 practitioners
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

2351 S Towne Ave
Pomona, CA 91766
Phone (909) 465-9337

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1598876856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N 13TH AVE STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864973",
            "telephone_number": "909-985-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 13TH AVE STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864973",
            "telephone_number": "909-985-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM TSAI D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "909-985-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX71150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.