Active NPI
Tyson Cobb, M.D.
- Interventional Cardiology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- C35334
- Practice address
- 1140 W la Veta Ave
Suite 640
Orange, CA 92868 - Phone
- (714) 564-3300
- Fax
- (949) 231-5112
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | C35334 | CA | Primary |
Addresses
Primary practice location
1140 W la Veta Ave
Suite 640
Orange, CA 92868
Mailing address
1140 W la Veta Ave
Suite 640
Orange, CA 92868
Phone (714) 564-3300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB3373 | Other | CA | RAILROAD MEDICARE |
| W13988A | Other | CA | MEDICARE PTAN |
| W13988 | Other | CA | MEDICARE PTAN |
| 060065322 | Other | CA | RAILROAD MEDICARE |
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
- Interventional Cardiology
- Education
- Cincinnati College of Medicine and Surgery, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 W la Veta Ave
Suite 640
Orange, CA 92868-4228
Phone 71456433001157
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.65 of 100
- Quality
- 76.42
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 72.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35334 | CA | MD | Optometrist |
| C35334 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Heart Institute and Research Center a Medical Group | Current | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Cardiology Specialists of Orange County | Specialist | Past | Accepting new patients |
Locations
4050 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (714) 771-7994
4501 Birch St
Newport Beach, CA 92660
Phone (949) 221-0136
1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054
1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCIGAA
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Orange, CA
- NPI 1265463608
-
- Specialist
- Santa Ana, CA
- NPI 1831137314
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1710982061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 640",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-564-3300",
"fax_number": "714-564-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 640",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-564-3300",
"fax_number": "949-231-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "TYSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "C35334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB3373",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W13988A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W13988",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060065322",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
- Coastal Diagnostic Services Inc
- Coastal Sleep and Diagnostic Center of Orange LLC
- Leonard Hartiz Coaston
- Troy Nicholas Coaston, MD
- Kimberly Yvette Coates
- Melitza J Cobham-Browne, MD
- Preethi Codanda Chengappa, AUD
- Benjamin Coe, M.S., CCC-SLP
- Sean Emmanuel Stephane Coeckelenbergh, MD, PHD
- Megan Taylor Coffin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.