JUNA TSAO (M.D.) – Family Medicine Physician, NPI 1497747232

JUNA TSAO (M.D.) is a healthcare provider. based in San bernardino, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A63193 (CA). The NPI Number for JUNA TSAO (M.D.) is 1497747232

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JUNA TSAO (M.D.)
NPI
1497747232
Phone
(909) 382-7180
Address
1454 E 2ND ST
Enumeration Date
18 August 2005
Last Update Date
27 March 2008

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9095586600
Graduation Year
1996 (30 years ago)
PAC ID
0840373676
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20080215000696
Address ID
CA923738451RE25828BLVD302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

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Provider Addresses for JUNA TSAO (M.D.)

  • East 2nd Street, San Bernardino, San Bernardino County, California, 92401, United States

    SAN BERNARDINO, CA 924080118

    Phone: (909) 382-7180

    Fax: (909) 382-7136

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080215000696IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10977$0
99213Established patient office or other outpatient visit, 20-29 minutes4138$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
G0008Administration of influenza virus vaccine1212$0
90662Influenza vaccine split virus, preservative free1111$0
View full utilization report →

Insurance plans in this area (ZIP 92408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile
NameSpecialtyState
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Certified Registered Nurse Anesthetist (Crna)CA
Critical Care (Intensivists), General SurgeryCA
Surgical Oncology, General SurgeryIL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Where can patients find JUNA TSAO (M.D.)'s NPI?
You can confirm JUNA TSAO (M.D.) with NPI 1497747232; it appears in the national provider directory.
Is JUNA TSAO (M.D.) currently active in the NPI registry?
CMS-published data lists JUNA TSAO (M.D.) as an active registrant.
What kind of provider is JUNA TSAO (M.D.)?
The page reflects Family Medicine Physician for JUNA TSAO (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for JUNA TSAO (M.D.)?
We surface San Bernardino, California for JUNA TSAO (M.D.) based on available NPPES addresses.
Is JUNA TSAO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1497747232. Always confirm identity and privileges with the practice and licensing boards.

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