TJ TSAY MD (NPI# 1780040477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780040477 |
| Entity Type | Organization |
| Organization Name | TJ TSAY MD |
| Other Organization Name | AGELESS MD |
| Practice Address |
13132 Newport Ave Suite 200 Tustin CA 92780-3429 |
| Practice Telephone | 7147609918 |
| Mailing Telephone | 7147609918 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | TJ J TSAY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7147609918 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ageless MD | Doing Business As Name - Organization |
| Street Address |
13132 NEWPORT AVE SUITE 200 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356310049 | Michael Wayland Cater | Pediatrics | 13132 Newport Ave, 100, Tustin, CA 92780-3429 | 2006-03-15 |
| 1699077842 | Allied Surgery Center | Clinic/Center | 13132 Newport Ave, Suite 210, Tustin, CA 92780 | 2010-11-20 |
| 1770718728 | Marisa Turner | Pediatrics | 13132 Newport Ave, Suite #100, Tustin, CA 92780-3429 | 2009-05-20 |
| 1528127024 | Craig Carl Thiede | Dentist | 13132 Newport Ave, Suite 230, Tustin, CA 92780-3429 | 2006-12-08 |
| 1841234978 | Angela Sw Dangvu | Pediatrics | 13132 Newport Ave, Tustin, CA 92780-3429 | 2006-06-16 |
| 1871541540 | Kyung Myun Kim | Dentist | 13132 Newport Ave, Suite # 220, Tustin, CA 92780-3429 | 2006-05-05 |
| 1497724736 | Hsiao Ping Tang | Pediatrics | 13132 Newport Ave, 100, Tustin, CA 92780-3429 | 2006-03-17 |
| 1326017690 | Ernest Daniel Mackey | Pediatrics | 13132 Newport Ave, 100, Tustin, CA 92780-3429 | 2006-03-17 |
| 1124097431 | Dawn L Bruner | Pediatrics | 13132 Newport Ave, 100, Tustin, CA 92780-3429 | 2006-03-17 |
| 1255300943 | Norah Gutrecht | Pediatrics | 13132 Newport Ave, 100, Tustin, CA 92780-3429 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144373168 | Anjali Butani | Dermatology | 2620 Walnut Ave Ste D, Tustin, CA 92780-7028 | 2007-01-21 |
| 1184701690 | Donald Stephen Freiburger | Dermatology | 17671 Amaganset Way, Tustin, CA 92780-2513 | 2006-11-01 |
| 1679566335 | Patrick Kevin Lee | Dermatology | 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 | 2005-08-29 |
| 1619240637 | Patrick K. Lee, M.d., Inc. | Dermatology | 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 | 2012-02-22 |
| 1962729269 | Ronald Cotliar Md Inc | Dermatology | 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 | 2010-04-26 |
| 1073729257 | Wieke H Liem, M.d.,inc. | Dermatology | 17601 17th St Ste 110, Tustin, CA 92780-1949 | 2007-05-15 |
| 1033241138 | South Coast Dermatology Institute, A Medical Corporation | Dermatology | 2552 Walnut Ave, Suite 120, Tustin, CA 92780-6935 | 2007-03-12 |
| 1700888690 | Vince Ferhad Afsahi | Dermatology | 2552 Walnut Ave, Suite 120, Tustin, CA 92780-6935 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.