Individual provider Active NPI

Gavin Genzo Tsuchida, DPM

  • Podiatrist
  • Torrance, CA
National Provider Identifier
1902394083
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5853 Issued in CA
Practice address
2780 Skypark Dr Ste 100
Torrance, CA 90505-5394
Phone
(310) 326-8551
NPI assigned
Apr 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E5853 CA Primary

Addresses

Primary practice location

2780 Skypark Dr Ste 100
Torrance, CA 90505-5394

Mailing address

2780 Skypark Dr Ste 100
Torrance, CA 90505-5394
Phone (310) 326-8551

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220709000026 CA Practitioner - Podiatry 3971983859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Torrance Podiatrists Group IncGroup PAC ID 6103945266, 6 clinicians

Practice addresses (Care Compare)

2780 Skypark Dr
Suite 100
Torrance, CA 90505-5394
Phone (310) 326-8551

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of nail tissue231
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5853CAMDPodiatrist
5853CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Torrance Podiatrists Group, Inc. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Philip Wrotslavsky, DPM, a Professional Corporation Single Specialty CurrentSince Jul 15, 2007 Accepting new patients
Providence Health System Southern California Single Specialty Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

4520 Executive Dr
Ste 215
San Diego, CA 92121
Phone (760) 728-4800

23451 Madison St
Ste 230
Torrance, CA 90505
Phone (310) 373-0521

2780 Skypark Dr
Torrance, CA 90505
Phone (818) 317-5396

2780 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 326-8551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1902394083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SKYPARK DR STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055394",
            "telephone_number": "310-326-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SKYPARK DR STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055394",
            "telephone_number": "310-326-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUCHIDA",
        "first_name": "GAVIN",
        "middle_name": "GENZO",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.