Active NPI
Tina Sandy Hong, MD
- Pediatrics Physician
- Alameda, CA
National Provider Identifier
1881654739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A64539
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.