Jho Mary Tangcora, MSN, AGACNP-BC, CCRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

NP95006373 Issued in CA

Practice address

1520 San Pablo St FL 1
Los Angeles, CA 90033-5310

Phone

(323) 442-8682

NPI assigned

May 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Surgeons of Orange a Medical GroupGroup PAC ID 6901705227, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtangcora866505@direct.memorialcare.org

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.

• University Surgeons of Orange a Medical Group

  dba Regents of the University of California

  • Surgery Physician
  • Orange, CA
  • NPI 1407806904
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  dba Plastic Surgery Division UCI

  • Plastic Surgery Physician
  • Orange, CA
  • NPI 1336171818
  Medicare reassignment NPD
• Regents of the University of California

  dba OB-GYN University Associates

  • Obstetrics & Gynecology Physician
  • Orange, CA
  • NPI 1356304034
  Medicare reassignment NPD
• Regents of the University of California

  dba Orthopaedic Faculty of Irvine

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1356399703
  Medicare reassignment NPD
• Uci Department of Urology

  • Urology Physician
  • Orange, CA
  • NPI 1255398533
  Medicare reassignment NPD
• University Head & Neck Surgeons

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1669437075
  Medicare reassignment NPD
• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306
  Medicare reassignment NPD
• Usc Care Medical Group, Inc

  dba Fair Oaks Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390
  NPD
• University of California Irvine

  dba UCI Infusion Center

  • Infusion Therapy Clinic/Center
  • Irvine, CA
  • NPI 1417027475
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1952838120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGCORA",
        "first_name": "JHO MARY",
        "name_prefix": "Mrs.",
        "credential": "MSN, AGACNP-BC, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95006373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhomary.tangcora@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 San Pablo St Fl 1",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wilson Lay Tang, MD
• Yee Lan Tang
• Maryam Tangarpour
• Samantha Tangchaiburana
• Pamela Tangchitnob, DO
• Nantiya Tangdamrongmongkhon
• Ardalan Tangestanipoor, MD
• Kevin Tangonan, DO
• Aline Zarig Tanielian, PSY.D.
• Alex Taniguchi

• Acute Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.