Individual provider Active NPI

Icarus Kwok Tsang

  • Clinical Psychologist
  • Daly City, CA
National Provider Identifier
1669825675
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35724 Issued in CA
Practice address
386 Gellert Blvd
Daly City, CA 94015-2611
Phone
(650) 761-3500
Fax
(650) 761-3580
NPI assigned
Jul 14, 2016
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY35724 CA Primary

Addresses

Primary practice location

386 Gellert Blvd
Daly City, CA 94015-2611

Mailing address

386 Gellert Blvd
Daly City, CA 94015-2611
Phone (650) 761-3500

Other practice location 1

845 Jackson St
San Francisco, CA 94133-4899
Phone (415) 677-2370

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808000856 CA Practitioner - Clinical Psychologist 7810495934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinese Hospital AssociationGroup PAC ID 9436042413, 37 clinicians

Practice addresses (Care Compare)

386 Gellert Blvd
Suite Bcandd
Daly City, CA 94015-2611
Phone (650) 761-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35724CAMDClinical Psychologist
35724CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 25, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 25, 2025 Accepting new patients
Sutter Bay Medical Foundation PastSince Oct 21, 2025 Accepting new patients
Sutter Bay Hospitals PastSince Oct 21, 2025 Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

1625 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-2293

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: itsang180324@hisp.ehr.sutterhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1669825675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 GELLERT BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152611",
            "telephone_number": "650-761-3500",
            "fax_number": "650-761-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 GELLERT BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152611",
            "telephone_number": "650-761-3500",
            "fax_number": "650-761-3580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Jackson St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334899",
            "country_code": "US",
            "telephone_number": "415-677-2370",
            "fax_number": "415-217-4181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSANG",
        "first_name": "ICARUS",
        "middle_name": "KWOK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.