Organization Active NPI

Stephen M. Tsang MD, Inc., a Professional Corporation

  • Obstetrics & Gynecology Physician
  • Tracy, CA
National Provider Identifier
1891766069
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A69792
Legal business name
STEPHEN M. TSANG MD, INC., A PROFESSIONAL CORPORATION
Practice address
1530 Bessie Ave Ste 103
Tracy, CA 95376-3080
Phone
(209) 833-6221
Fax
(209) 839-0814
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Dr. Stephen M Tsang, MD
Title
MD
Phone
(209) 833-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A69792 Primary

Addresses

Primary practice location

1530 Bessie Ave Ste 103
Tracy, CA 95376-3080

Mailing address

1530 Bessie Ave
Suite 103
Tracy, CA 95376-3080
Phone (209) 833-6221

Other identifiers 1

IdentifierTypeStateIssuer
00A697920MedicaidCA

National Provider Directory

National Provider Directory

Locations

1530 Bessie Ave
Ste 103
Tracy, CA 95376
Phone (209) 833-6221

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1891766069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE",
            "address_2": "SUITE 103",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763080",
            "telephone_number": "209-833-6221",
            "fax_number": "209-839-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE STE 103",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763080",
            "telephone_number": "209-833-6221",
            "fax_number": "209-839-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. TSANG MD, INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "TSANG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "209-833-6221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": "A69792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A697920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.