Jonathan Tsao, D.O
NPI 1225071384 · Family Medicine Physician · Laguna Niguel, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Tsao, D.O is a Family Medicine Physician provider in Laguna Niguel, CA (NPI 1225071384).
Provider details
- NPI number
- 1225071384
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- License
- 20A6926 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
643 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 145 | $98 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 145 | $138 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 139 | $17 |
| Automated Urinalysis Test81003 | 50 | $2 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 43 | $194 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 50 | 49 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 46 | 23 |
| Azithromycin | 42 | 41 |
| Meloxicam | 34 | 22 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 33 | 32 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 28 | 28 |
| Cephalexin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$90 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 400 N Pepper AveColton, CA 92324-1801Phone: (909) 580-1400
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Frequently asked questions
- What is Jonathan Tsao's NPI number?
- Jonathan Tsao's National Provider Identifier (NPI) is 1225071384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Tsao's specialty?
- Jonathan Tsao is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jonathan Tsao located?
- Jonathan Tsao's practice location on file with NPPES is 27321 La Paz Rd Ste a, Laguna Niguel, CA 92677-3629.
- What is Jonathan Tsao's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Tsao is (949) 643-9111.
- Does Jonathan Tsao accept Medicare?
- Jonathan Tsao is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Tsao's NPI active?
- Yes — Jonathan Tsao's NPI (1225071384) is active in the NPPES registry as of the last update on 2024-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.