Active NPI
Suong My Tuong MD
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1750463329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A36173
- Legal business name
- SUONG MY TUONG MD
- Practice address
- 5296 University Avenue
Suite J
San Diego, CA 92105-2269 - Phone
- (619) 287-7835
- Fax
- (619) 287-2307
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suong My Tuong, MD
- Title
- Owner General Partner
- Phone
- (619) 287-7835
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A36173 | CA | Primary |
Addresses
Primary practice location
5296 University Avenue
Suite J
San Diego, CA 92105-2269
Mailing address
5296 University Avenue
Suite J
San Diego, CA 92105-2269
Phone (619) 287-7835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A361730 | Medicaid | CA |
Other names 1
- Ngoc Minh Pham MD & Suong My Tuong MD APC
National Provider Directory
National Provider DirectoryLocations
5296 University Ave
Ste J
San Diego, CA 92105
Phone (619) 287-7835
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1568659159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190764800000",
"number": "1750463329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5296 UNIVERSITY AVENUE",
"address_2": "SUITE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052269",
"telephone_number": "619-287-7835",
"fax_number": "619-287-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5296 UNIVERSITY AVENUE",
"address_2": "SUITE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052269",
"telephone_number": "619-287-7835",
"fax_number": "619-287-2307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUONG MY TUONG MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2007-09-26",
"status": "A",
"authorized_official_last_name": "TUONG",
"authorized_official_first_name": "SUONG",
"authorized_official_middle_name": "MY",
"authorized_official_title_or_position": "OWNER GENERAL PARTNER",
"authorized_official_telephone_number": "619-287-7835",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A36173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A361730",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ngoc Minh Pham MD & Suong My Tuong MD APC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.