Organization Active NPI

Timothy a McGillivray M.D. Inc

  • Surgery Physician
  • Torrance, CA
National Provider Identifier
1053699017
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TIMOTHY A MCGILLIVRAY M.D. INC
Practice address
23600 Telo Ave Ste 120
Torrance, CA 90505-4036
Phone
(310) 602-5002
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Timothy A McGillivray, MD
Title
Owner
Phone
(310) 602-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

23600 Telo Ave Ste 120
Torrance, CA 90505-4036

Mailing address

748 Avenue C
Redondo Beach, CA 90277-4841
Phone (310) 602-5002

National Provider Directory

National Provider Directory

Locations

23600 Telo Ave
Ste 120
Torrance, CA 90505
Phone (310) 602-5002

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1053699017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 AVENUE C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774841",
            "telephone_number": "310-602-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-602-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A MCGILLIVRAY M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "MCGILLIVRAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-602-5002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.