Active NPI
Jill J Tiongco, MD
- Internal Medicine Physician
- Carmel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C53805
- Practice address
- 275 The Crossroads
Suite a
Carmel, CA 93923-8684 - Phone
- (831) 718-9701
- NPI assigned
- May 10, 2006
- Last updated
- Sep 20, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C53805 | CA | Primary |
Addresses
Primary practice location
275 The Crossroads
Suite a
Carmel, CA 93923-8684
Mailing address
275 The Crossroads
Suite a
Carmel, CA 93923-8684
Phone (831) 718-9701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928260 | Medicaid | AZ |
Other names 1
- Jill Joanne Reyes Tiongco
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
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Upper Ragsdale Dr
BLDG a
Monterey, CA 93940-5736
Phone (831) 718-9701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53805 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| C53805 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montage Medical Group | Internal Medicine | Current | Accepting new patients |
| Sun Health Corporation | Past | Accepting new patients | |
| Banner del E Webb Medical Center | Past | Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Past | Accepting new patients |
Locations
275 The Crossroads Blvd
Ste A
Carmel, CA 93923
Phone (831) 620-0296
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040
23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Carmel, CA
- NPI 1770710709
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
- Psychiatric Hospital Unit
- Sun City West, AZ
- NPI 1588825848
-
dba Sun Health Boswell Hospital
- General Acute Care Hospital
- Sun City, AZ
- NPI 1295788677
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monterey, CA
- NPI 1093718884
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1861442196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 THE CROSSROADS",
"address_2": "SUITE A",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238684",
"telephone_number": "831-718-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 THE CROSSROADS",
"address_2": "SUITE A",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238684",
"telephone_number": "831-718-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIONGCO",
"first_name": "JILL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C53805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "928260",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "REYES TIONGCO",
"middle_name": "JOANNE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carmel, CA
- Colly Tettelbach, RN, MS, MA, CPE
- The Equine Healing Collaborative Inc (The Equine Healing Collaborative)
- Roy L. Thomas, D.D.S.
- James D. Thurman, P.T.
- Sarah Margaret Tinsley, MA, MFT
- Navpreet Kaur Tiwana
- Toes on the Go Inc (Toes on the Go)
- Transformative Psychiatry Inc. (Gentry Psychiatric)
- Cheryl Trotter Robertson
- Iwonka Tyksinska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.