Individual provider Active NPI

Yi Cai Isaac Tong, M.D.

  • Interventional Pain Medicine Physician
  • Riverside, CA
National Provider Identifier
1659678837
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A135011 Issued in CA
Practice address
3762 Tibbetts St
Riverside, CA 92506-2605
Phone
(949) 414-7246
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R1465 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X R1465 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X A135011 CA
Interventional Pain Medicine Physician 208VP0014X R1465 TX
Interventional Pain Medicine Physician 208VP0014X A135011 CA Primary
Anesthesiology Physician 207L00000X A135011 CA

Addresses

Primary practice location

3762 Tibbetts St
Riverside, CA 92506-2605

Mailing address

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (917) 745-6888

Other practice location 1

3657 Van Buren Blvd
Riverside, CA 92503-4249
Phone (949) 414-7246

Other practice location 2

8965 Magnolia Ave
Riverside, CA 92503-4432
Phone (949) 414-7246

Other practice location 3

10961 Westminster Ave
Garden Grove, CA 92843-4929
Phone (949) 414-7246

Other practice location 4

17040 Arnold Dr
Riverside, CA 92518-2813
Phone (951) 238-6803

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902000069 CA Practitioner - Pain Management 4183848021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Geisel School of Medicine at Dartmouth, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evergreen Spine and Pain CentersGroup PAC ID 6507263688, 5 clinicians

Practice addresses (Care Compare)

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (949) 414-7246

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135011CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Spine and Pain Centers Anesthesiology CurrentSince Aug 19, 2021 Accepting new patients
Tricity Anesthesia Associates PLLC Pain Medicine Past Accepting new patients

Locations

10961 Westminster Ave
Garden Grove, CA 92843
Phone (714) 636-1744

12000 Mount Vernon Ave
Grand Terrace, CA 92313
Phone 20130889955174

17040 Arnold Dr
Riverside, CA 92518
Phone (951) 238-6803

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

8965 Magnolia Ave
Riverside, CA 92503
Phone (909) 689-5788

3657 Van Buren Blvd
Riverside, CA 92503
Phone (909) 238-7966

Interoperability endpoints

  • Direct secure messaging: tong@evergreenpain.kareodirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1659678837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 TIBBETTS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062605",
            "telephone_number": "917-745-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 TIBBETTS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062605",
            "telephone_number": "949-414-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3657 Van Buren Blvd",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925034249",
            "country_code": "US",
            "telephone_number": "949-414-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8965 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925034432",
            "country_code": "US",
            "telephone_number": "949-414-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10961 Westminster Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434929",
            "country_code": "US",
            "telephone_number": "949-414-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17040 Arnold Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925182813",
            "country_code": "US",
            "telephone_number": "951-238-6803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONG",
        "first_name": "YI CAI ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R1465",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R1465",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A135011",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R1465",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A135011",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A135011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.