Individual provider Active NPI

Tsu-Yi Chuang, M.D., M.P.H.

  • Dermatology Physician
  • Rancho Mirage, CA
National Provider Identifier
1942268149
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C50711 Issued in CA
Practice address
69844 Highway 111
Suite a
Rancho Mirage, CA 92270-2849
Phone
(760) 318-4869
Fax
(760) 770-1608
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X C50711 CA
Dermatology Physician 207N00000X C50711 CA Primary

Addresses

Primary practice location

69844 Highway 111
Suite a
Rancho Mirage, CA 92270-2849

Mailing address

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 320-8814

Other practice location 1

1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907
Phone (213) 278-0021

Other practice location 2

1700 N Rose Ave Ste 450
Oxnard, CA 93030-7628
Phone (805) 201-7150

Other practice location 3

701 E 28th St Ste 311
Long Beach, CA 90806-2780
Phone (562) 595-4777

Other practice location 4

2438 N Ponderosa Dr Ste C105
Camarillo, CA 93010-2465
Phone (805) 388-2068

Other identifiers 1

IdentifierTypeStateIssuer
271689700MedicaidFL

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
I20060826000046 CA Practitioner - DermatologyPractitioner - Preventive Medicine 1658331962 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50711CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Dermatology Current Accepting new patients
Csi Medical Group Dermatology CurrentSince Jul 21, 2021 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Dermatology CurrentSince Jul 8, 2024 Accepting new patients
Cary Edward Feibleman MD Inc Dermatology Past Accepting new patients
University Dermatology, Inc. Dermatology PastSince Jan 1, 2007 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

2438 N Ponderosa Dr
Ste C105
Camarillo, CA 93010
Phone (805) 308-2068

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

701 E 28th St
Ste 311
Long Beach, CA 90806
Phone (562) 595-4777

1127 Wilshire Blvd
Ste 600
Los Angeles, CA 90017
Phone (213) 250-7735

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tsuyi.chuang.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1942268149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-320-8814",
            "fax_number": "760-770-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69844 HIGHWAY 111",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702849",
            "telephone_number": "760-318-4869",
            "fax_number": "760-770-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173907",
            "country_code": "US",
            "telephone_number": "213-278-0021",
            "fax_number": "213-278-0973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N Rose Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930307628",
            "country_code": "US",
            "telephone_number": "805-201-7150",
            "fax_number": "805-278-0137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 28th St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062780",
            "country_code": "US",
            "telephone_number": "562-595-4777",
            "fax_number": "562-424-9644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2438 N Ponderosa Dr Ste C105",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930102465",
            "country_code": "US",
            "telephone_number": "805-388-2068",
            "fax_number": "805-484-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "TSU-YI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "C50711",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C50711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271689700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.