NPIMap

Individual provider Active NPI

Tommy Tzu-Fong Kuo, MD

  • Family Medicine Physician
  • San Mateo, CA
National Provider Identifier
1851396469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72386 Issued in CA
Practice address
1 Baywood Ave
Ste 8
San Mateo, CA 94402-1537
Phone
(650) 348-7375
Fax
(650) 348-7069
NPI assigned
Jun 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G72386 CA Primary

Addresses

Primary practice location

1 Baywood Ave
Ste 8
San Mateo, CA 94402-1537

Mailing address

1 Baywood Ave
Ste 8
San Mateo, CA 94402-1537
Phone (650) 348-7375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000570 CA Practitioner - Family Practice 4082657531 Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

One Baywood Ave
Suite 8
San Mateo, CA 94402-1537
Phone (650) 348-7375

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72386CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D Lee, MD Inc. Current Accepting new patients
Sequoia Health Services Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tkuo11766@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851396469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYWOOD AVE",
            "address_2": "STE 8",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021537",
            "telephone_number": "650-348-7375",
            "fax_number": "650-348-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYWOOD AVE",
            "address_2": "STE 8",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021537",
            "telephone_number": "650-348-7375",
            "fax_number": "650-348-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "TOMMY",
        "middle_name": "TZU-FONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.