Timothy J Wolf, C.R.N.A.08/

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA061 Issued in CA

Practice address

725 S Orange Ave
West Covina, CA 91790-2614

Phone

(909) 946-5752

Fax

(909) 985-3858

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Bruce B Chisholm MD a Professional Corporation

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rancho Mirage, CA
  • NPI 1700159548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003844200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 21ST ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841412",
            "telephone_number": "909-946-5752",
            "fax_number": "909-985-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902614",
            "telephone_number": "909-946-5752",
            "fax_number": "909-985-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.08/",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NA0000610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN1879391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Lim Wilson, FNP
• Sone-Seere A Wilson, MD
• Samuel Winkler
• Christopher Emmanuel Wissar Sr., MD
• Carol Wolcott, PA-C
• Andrew Burton Wong, O.D.
• Felix Wong
• Jair Wong, MD
• Kee P Wong, M.D.
• Li Chiung Wong, MD

• Certified Registered Nurse Anesthetist in West Covina, CA
• Providers in West Covina, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.