Active NPI
Tom Kuo, M.D.
- Emergency Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A91444
- Practice address
- 4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5423 - Phone
- (310) 827-3700
- Fax
- (310) 578-5379
- NPI assigned
- Jun 5, 2006
- Last updated
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A91444 | CA | Primary |
Addresses
Primary practice location
4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5423
Mailing address
3713 Coolidge Ave
Los Angeles, CA 90066-3311
Phone (714) 362-1748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W14560F | Other | CA | GROUP MEDICARE ID NUMBER |
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
- Emergency Medicine
- Education
- Boston University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1922 Hillhurst Ave
Suite 200
Los Angeles, CA 90027-2712
Phone (424) 314-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91444 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Parker Valley Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1922 Hillhurst Ave
Ste 200
Los Angeles, CA 90027
Phone (424) 314-5200
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434
2001 Santa Monica Blvd
Ste 370W
Santa Monica, CA 90404
Phone (310) 586-9001
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- tkuo436244@direct.cshs.org
Organizations & group practices 7
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1467755249
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1679907869
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1811936123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 COOLIDGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663311",
"telephone_number": "714-362-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 ADMIRALTY WAY",
"address_2": "SUITE 100",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925423",
"telephone_number": "310-827-3700",
"fax_number": "310-578-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO",
"first_name": "TOM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A91444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE ID NUMBER",
"identifier": "W14560F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.