Individual provider Active NPI

Willy Tjong

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1831544196
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A173468 Issued in CA
Practice address
450 Stanyan St
San Francisco, CA 94117-1019
Phone
(415) 750-5770
NPI assigned
Apr 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A173468 CA Primary

Addresses

Primary practice location

450 Stanyan St
San Francisco, CA 94117-1019

Mailing address

450 Stanyan Street
Radiology Dept
San Francisco, CA 94117
Phone (954) 605-7088

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708003474 CA Practitioner - Diagnostic Radiology 9739427287 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
Image Guided Therapeutics IncGroup PAC ID 6608874896, 16 clinicians

Practice addresses (Care Compare)

1595 Soquel Dr
Santa Cruz, CA 95065-1724

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2018 Mission St
Santa Cruz, CA 95060-5218
Phone (831) 465-7761

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

450 Stanyan St
San Francisco, CA 94117-1019
Phone (415) 750-5770

Hospital & facility affiliations

  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
  • UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • UCSF Health Saint Francis Hospital Hospital, San Francisco, CA, CCN 050152
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A173468CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Center of West Palm Beach LLC CurrentSince Feb 7, 2025 Accepting new patients
Coastline Imaging LLC Diagnostic Radiology CurrentSince Aug 10, 2023 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jan 30, 2025 Accepting new patients
Dignity Health Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Dignity Health Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Feb 22, 2025 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Neuro Imaging Institute of Winter Park, LTD CurrentSince Jan 1, 2026 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jan 28, 2025 Accepting new patients
Image Guided Therapeutics, Inc. Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Afo Imaging Inc Diagnostic Radiology CurrentSince Dec 8, 2023 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Sequoia Health Services Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Elite Radiology of Georgia, LLC Diagnostic Radiology PastSince Nov 22, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

2290 W Eau Gallie Blvd
Ste 104
Melbourne, FL 32935
Phone (321) 253-2700

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: wtjong432924@direct-ucsfmedicalcenter.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1831544196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STANYAN STREET",
            "address_2": "RADIOLOGY DEPT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94117",
            "telephone_number": "954-605-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-750-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJONG",
        "first_name": "WILLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A173468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.