Individual provider Active NPI

John S Tsakonas, M.D.

  • Cardiovascular Disease Physician
  • Encino, CA
National Provider Identifier
1851384499
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G62791 Issued in CA
Practice address
16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005
Phone
(818) 782-5041
Fax
(818) 205-9091
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G62791 CA Primary

Addresses

Primary practice location

16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005

Mailing address

16542 Ventura Blvd Ste 402
Encino, CA 91436-4562
Phone (818) 782-5041

Other practice location 1

10921 Wilshire Blvd Ste 1205
Los Angeles, CA 90024-4005
Phone (310) 824-3378

Other identifiers 1

IdentifierTypeStateIssuer
00G627910MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johntsakonas@ccmg.allscriptsdirect.net

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
I20090623000310 CA Practitioner - Cardiovascular Disease (Cardiology) 5092766865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Stony Brook, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Cardiovascular Consultants Medical GroupGroup PAC ID 5991786105, 13 clinicians

Practice addresses (Care Compare)

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

16542 Ventura Blvd
Suite 402
Encino, CA 91436-4562
Phone (818) 782-5041

Hospital & facility affiliations

  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62791CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants Medical Group Cardiovascular Disease Current Accepting new patients
Beverly Radiology Medical Group III Current Accepting new patients
Cardiovascular Consultants Medical Group CurrentSince Nov 2, 1987 Accepting new patients
Beverly Radiology Medical Group III CurrentSince May 4, 2009 Accepting new patients
Beverly Radiology Medical Group III CurrentSince May 4, 2009 Accepting new patients
Cardiovascular Consultants Medical Group Cardiovascular Disease CurrentSince Nov 2, 1987 Accepting new patients
Dignity Community Care Past Accepting new patients
Cardiovascular Imaging Medical Group Cardiovascular Disease PastSince May 17, 1999 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

16542 Ventura Blvd
Ste 402
Encino, CA 91436
Phone (818) 782-5041

16550 Ventura Blvd
Ste 122
Encino, CA 91436
Phone (818) 782-5041

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

10921 Wilshire Blvd
Ste 1205
Los Angeles, CA 90024
Phone (310) 824-3378

100 UCLA Medical Plz
Ste 410
Los Angeles, CA 90024
Phone (310) 824-3378

14901 Rinaldi St
Ste 110
Mission Hills, CA 91345
Phone (818) 365-1339

18350 Roscoe Blvd
Ste 603
Northridge, CA 91325
Phone (818) 993-8283

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

23929 McBean Pkwy
Ste 216
Valencia, CA 91355
Phone (661) 255-5460

15243 Vanowen St
Ste 301
Van Nuys, CA 91405
Phone (818) 782-5041

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: johntsakonas@carcmg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75951

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1851384499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 Wilshire Blvd Ste 1205",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244005",
            "country_code": "US",
            "telephone_number": "310-824-3378",
            "fax_number": "310-208-2870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAKONAS",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G62791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G627910",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johntsakonas@ccmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "16542 Ventura Blvd",
            "address_2": "Suite 402",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914362005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.