Active NPI
Pen Yi Tso
- Acute Care Nurse Practitioner
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95007376
- Practice address
- 1305 E Covina Blvd
Covina, CA 91724-1501 - Phone
- (626) 592-5778
- NPI assigned
- Jan 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 95007376 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95007376 | CA | Primary |
Addresses
Primary practice location
1305 E Covina Blvd
Covina, CA 91724-1501
Mailing address
1305 E Covina Blvd
Covina, CA 91724-1501
Phone (626) 592-5778
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prowellness Healthcare Inc. | Current | Accepting new patients | |
| Nightingale Clinical Care, PC | Current | Accepting new patients | |
| Concertocare Medical Group of California, P.C. | Current | Accepting new patients | |
| Veeone Medical Group PA | Current | Accepting new patients | |
| Doctors on the Go Inc. | Current | Accepting new patients |
Locations
902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720
2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252
4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491
510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294
11690 San Pablo Ave
El Cerrito, CA 94530
425 E Colorado St
Ste 535A
Glendale, CA 91205
Phone (818) 532-2222
7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507
501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252
3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255
78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494
320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973
8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488
1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661
3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506
9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171
555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370
30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549
811 Main St
#7
Kansas City, MO 64105
Interoperability endpoints
- penyi.tso.p1@direct.evchc.nextgenshare.com
- grace.tso.1@33925.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Huntington Beach, CA
- NPI 1922777259
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1700523362
-
- Primary Care Clinic/Center
- Riverside, CA
- NPI 1972159069
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1053150698
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1265156558
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1962900233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E COVINA BLVD",
"city": "COVINA",
"state": "CA",
"postal_code": "917241501",
"telephone_number": "626-592-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E COVINA BLVD",
"city": "COVINA",
"state": "CA",
"postal_code": "917241501",
"telephone_number": "626-592-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSO",
"first_name": "PEN YI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "95007376",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95007376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.