Andrew-Justin Chong Tio, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011322 Issued in CA

Practice address

500 Lennon LN
Walnut Creek, CA 94598-2415

Phone

(925) 939-9610

NPI assigned

Mar 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Michael P Sherman MD PHD, a Medical Corporation

  • Hematology & Oncology Physician
  • Walnut Creek, CA
  • NPI 1831201912
  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1730713488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIO",
        "first_name": "ANDREW-JUSTIN",
        "middle_name": "CHONG",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Patricia Tingley, MD
• Rosa Tingley
• Tatiana Isabel Tingley
• Frankie Michael Tinley, BEHAVIOR TECHNICIAN
• Bradford Tinloy, M.D.
• George Tischenko, M.D.
• Kit Tittiranonda, MD
• Fatima Tiwana
• Ashley Chiang Tjoe, O.D.
• Angeline Sutomo Tju

• Family Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.