Fred Shoji Tsutsui, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

26137 Issued in CA

Practice address

3640 Lomita Blvd Ste 304
Torrance, CA 90505-3957

Phone

(310) 791-1790

Fax

(310) 791-1062

NPI assigned

May 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 6, 2016 through May 6, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fred S. Tsutsui DMD, Inc.

  • Endodontics
  • Torrance, CA
  • NPI 1750557120
  NPD (past) Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1821264664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 304",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053957",
            "telephone_number": "310-791-1790",
            "fax_number": "310-791-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 304",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053957",
            "telephone_number": "310-791-1790",
            "fax_number": "310-791-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUTSUI",
        "first_name": "FRED",
        "middle_name": "SHOJI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "26137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Tsuang, M.D.
• Gavin Genzo Tsuchida, DPM
• Erin Tsuji
• Chris Makoto Tsuneishi, M.D.
• Tsuneo Hirabayashi MD Inc
• Alisha VI Tu
• Brandon Tu, RPH
• Jennifer Tu
• Joy He Tu, DPT
• Linh Hong Tu, O.D.

• Endodontics in Torrance, CA
• Providers in Torrance, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.