Individual provider Active NPI

Tina Sandy Hong, MD

  • Pediatrics Physician
  • Alameda, CA
National Provider Identifier
1881654739
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A64539 Issued in CA
Practice address
1359 Park St
Alameda, CA 94501-4533
Phone
(510) 523-8162
Fax
(510) 865-2532
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A64539 CA Primary

Addresses

Primary practice location

1359 Park St
Alameda, CA 94501-4533

Mailing address

11875 Dublin Blvd
Suite B 125
Dublin, CA 94568-2843
Phone (925) 587-2500

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
I20121204000159 CA Practitioner - Pediatric Medicine 7618129339 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Nov 1, 2012 Accepting new patients

Locations

1359 Park Ave
Alameda, CA 94501
Phone (510) 523-8162

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

Interoperability endpoints

  • Direct secure messaging: thong13582@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1881654739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "SUITE B 125",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2500",
            "fax_number": "925-587-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 PARK ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014533",
            "telephone_number": "510-523-8162",
            "fax_number": "510-865-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "TINA",
        "middle_name": "SANDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A64539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.