Tien-Hoa Ko, M.D.
Individual provider Active NPI Occupational Medicine Physician · Commerce, CA
NPI 1912915489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912915489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- License
- G76493 (CA)
- Practice address
- 3430 Garfield Ave.
Commerce, CA 90040 - Phone
- (818) 952-3453
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190409000272 | CA | Practitioner - General Practice | 0042551624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76493 | CA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients |
Locations
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | G76493 | CA | Yes |
Addresses
Primary practice location
3430 Garfield Ave.
Commerce, CA 90040
Mailing address
3430 Garfield Ave.
Commerce, CA 90040
Phone (818) 952-3453
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G76493 | Other | CA | LICENSE NUMBER |
Other providers in Commerce, CA
- Reynisha King
- Kingsbridge Hospice, Inc
- Sierra Kinney
- Evan Patrick Klein
- James Knox
- Kobby'S Hospice Care, Inc
- Kayla Koo
- Farrah Koutchek-Spero
- Koutchekpour & Spero, a Professional Corporation
- Dan Kraft
All providers in Commerce, CA · Occupational Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.