Organization Active NPI

Patricia Shih-Ting Tsai MD Inc

  • Gastroenterology Physician
  • Newport Beach, CA
National Provider Identifier
1609805134
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A64184 Issued in CA
Legal business name
PATRICIA SHIH-TING TSAI MD INC
Practice address
496 Old Newport Blvd
# 1
Newport Beach, CA 92663-4263
Phone
(949) 650-4630
Fax
(949) 650-4625
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Patricia Shih-Ting Tsai, MDNPI 1538100896
Title
President/Owner
Phone
(949) 650-4630

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A64184 CA Primary

Addresses

Primary practice location

496 Old Newport Blvd
# 1
Newport Beach, CA 92663-4263

Mailing address

PO Box 788
Hemet, CA 92546
Phone (951) 929-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000197 CA Part B Supplier - Clinic/Group Practice 7719990100 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

496 Old Newport Blvd
Ste 1
Newport Beach, CA 92663
Phone (949) 650-4630

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1609805134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92546",
            "telephone_number": "951-929-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPORT BLVD",
            "address_2": "# 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634263",
            "telephone_number": "949-650-4630",
            "fax_number": "949-650-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA SHIH-TING TSAI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SHIH-TING",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-650-4630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A64184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.