JESSICA SUN TSAI M.D.
NPI 1174904312
Pediatrics in Antioch, CA

Q: What is Jessica Tsai's NPI number?

The NPI number for Jessica Tsai is 1174904312. It was assigned to this individual provider in the NPPES registry on June 13, 2015.

Q: What is Jessica Tsai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Tsai was last updated on July 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2015PECOS Enrolled

4053 LONE TREE WAY, ANTIOCH, CA 94531(925) 756-3400 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2025, Sep 17, 2021 (2 updates tracked since 2021).

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About Jessica Sun Tsai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SUN TSAI M.D. (NPI 1174904312) is an individual pediatrics provider in Antioch, California, licensed in California (A155582) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174904312

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJESSICA SUN TSAICredential: M.D.

Location Address4053 LONE TREE WAYAntioch, CA 94531-6210

Mailing Address4053 Lone Tree Way Ste 201Antioch, CA 94531-6210 · (925) 756-3400

Phone(925) 756-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 13, 2015

Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1174904312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A155582

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4053 LONE TREE WAY, Antioch, CA 94531

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Sun Tsai M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951815760

PECOS Enrollment IDI20250703003141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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