Active NPI
Bryan E Tsao, MD
- Neurology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35079455
- Practice address
- 11175 Campus Street
CP 11108
Loma Linda, CA 92354 - Phone
- (909) 558-4907
- Fax
- (909) 478-0207
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35079455 | OH | Primary |
Addresses
Primary practice location
11175 Campus Street
CP 11108
Loma Linda, CA 92354
Mailing address
11175 Campus Street
CP 11108
Loma Linda, CA 92354
Phone (909) 558-4907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2265365 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Loma Linda University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63192 | CA | MD | Dentist |
| 35079455 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
11370 Anderson St
Ste B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
Ste 2400
Loma Linda, CA 92354
Phone (909) 558-2880
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
1401 N Palm Canyon Dr
Ste 103
Palm Springs, CA 92262
Phone (760) 320-3538
1003 E Brier Dr
San Bernardino, CA 92408
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- btsao11805@direct.llu.edu
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba SAC Arrowhead
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Neurological Surgery Physician
- Corona, CA
- NPI 1619163441
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
-
dba Sac Sbusd Resource Center
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1982164877
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1639115900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS STREET",
"address_2": "CP 11108",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-4907",
"fax_number": "909-478-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS STREET",
"address_2": "CP 11108",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-4907",
"fax_number": "909-478-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAO",
"first_name": "BRYAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35079455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265365",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.