Organization Active NPI

VJ Tutson MD and Associates PC

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1699589507
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VJ TUTSON MD AND ASSOCIATES PC
Practice address
6330 San Vicente Blvd Ste 520
Los Angeles, CA 90048-5455
Phone
(310) 482-1846
Fax
(737) 309-5138
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Valerie Tutson, MDNPI 1518054071
Title
Ceo/Owner
Phone
(310) 482-1846

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

6330 San Vicente Blvd Ste 520
Los Angeles, CA 90048-5455

Mailing address

11601 Shadow Creek Pkwy Ste 111-410
Pearland, TX 77584-7283
Phone (310) 482-1846

Other identifiers 1

IdentifierTypeStateIssuer
C51402OtherCACALIFORNIA MEDICAL BOARD

Other names 1

  • VJ Tutson MD and Associates PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102000297 CA Part B Supplier - Clinic/Group Practice 2163918871 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

6330 San Vicente Blvd
Ste 520
Los Angeles, CA 90048
Phone (310) 274-2843

11601 Shadow Creek Pkwy
Ste 111410
Pearland, TX 77584

Practitioners & affiliated clinicians

Practitioners 5

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1699589507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 SHADOW CREEK PKWY STE 111-410",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847283",
            "telephone_number": "310-482-1846",
            "fax_number": "737-309-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD STE 520",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485455",
            "telephone_number": "310-482-1846",
            "fax_number": "737-309-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VJ TUTSON MD AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "TUTSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-482-1846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "C51402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VJ Tutson MD and Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.