Tim G Ursich, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC12564 Issued in CA

Practice address

28633 S Western Ave Ste 200
Rancho Palos Verdes, CA 90275-0817

Phone

(310) 832-2622

Fax

(310) 832-2621

NPI assigned

Oct 30, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tim G. Ursich Chiropratic, Inc.

  • Sports Physician Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1609922038
  Medicare reassignment NPD

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1053590794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE STE 200",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750817",
            "telephone_number": "310-832-2622",
            "fax_number": "310-832-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE STE 200",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750817",
            "telephone_number": "310-832-2622",
            "fax_number": "310-832-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29000 S Western Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902750826",
            "country_code": "US",
            "telephone_number": "310-832-2622",
            "fax_number": "310-832-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URSICH",
        "first_name": "TIM",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC12564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twilight Nursing Anesthesia Services Inc
• Debbie Ann Ung, OD
• Barbara Jean Urich, ICCE
• Ursich Chiropractic Corp
• Michael Vincent Ursich, O.D.
• Timothy Joshua Ursich, DC
• Margarita Ruby Vargas, PT, DPT
• Ana Aracely Vasquez, FNP
• Vazin Chiropractic
• Julia Nicole Vicencio, NP

• Sports Physician Chiropractor in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.