Individual provider Active NPI

Albert C Tso, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fremont, CA
National Provider Identifier
1629299243
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
36705 Issued in CA
Practice address
39560 Stevenson PL
Suite 116
Fremont, CA 94539-3074
Phone
(510) 494-8787
Fax
(510) 494-8078
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 36705 CA Primary

Addresses

Primary practice location

39560 Stevenson PL
Suite 116
Fremont, CA 94539-3074

Mailing address

39560 Stevenson PL
Suite 116
Fremont, CA 94539-3074
Phone (510) 494-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 22, 2013 through Apr 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1629299243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL",
            "address_2": "SUITE 116",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-494-8787",
            "fax_number": "510-494-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL",
            "address_2": "SUITE 116",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-494-8787",
            "fax_number": "510-494-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSO",
        "first_name": "ALBERT",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "36705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.