Individual provider Active NPI

Pamela Y Tsuchiya, M.D.

  • Ophthalmology Physician
  • Tracy, CA
National Provider Identifier
1962519652
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G74382 Issued in CA
Practice address
2160 W Grant Line Rd
Suite 100
Tracy, CA 95377-7330
Phone
(209) 835-2227
Fax
(209) 835-2250
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G74382 CA Primary

Addresses

Primary practice location

2160 W Grant Line Rd
Suite 100
Tracy, CA 95377-7330

Mailing address

2160 W Grant Line Rd
Suite 100
Tracy, CA 95377-7330
Phone (209) 835-2227

Other identifiers 1

IdentifierTypeStateIssuer
00G743820MedicaidCA

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
I20080710000783 CA Practitioner - Ophthalmology 4981776762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Eye Medical Group, Inc.Group PAC ID 6204873870, 8 clinicians

Practice addresses (Care Compare)

1617 Saint Marks PLZ
Stockton, CA 95207-6423

1617 Saint Marks PLZ
Suite D
Stockton, CA 95207-6478

1617 Saint Marks PLZ D
Stockton, CA 95207-6423
Phone (209) 478-1797

2160 W Grant Line Rd
Suite 100
Tracy, CA 95377-7331
Phone (209) 835-2227

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
94.66
Improvement activities
40
Cost
82.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G74382CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Eye Medical Group, Inc. Ophthalmology Current Accepting new patients
Delta Eye Medical Group, Inc. Ophthalmology CurrentSince Nov 1, 2007 Accepting new patients
Dameron Hospital Association Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients

Locations

521 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-5886

1617 Saint Marks Plz
Ste D
Stockton, CA 95207
Phone (209) 478-1797

2160 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (209) 835-2227

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ptsuchiya15529@hpmg.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1962519652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD",
            "address_2": "SUITE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777330",
            "telephone_number": "209-835-2227",
            "fax_number": "209-835-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD",
            "address_2": "SUITE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777330",
            "telephone_number": "209-835-2227",
            "fax_number": "209-835-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUCHIYA",
        "first_name": "PAMELA",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G74382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G743820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.