Individual provider Active NPI

Tim E. Darsaut, M.D., MSC., FRCS(C)

  • Neurological Surgery Physician
  • Palo Alto, CA
National Provider Identifier
1063690808
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A104110 Issued in CA
Practice address
1237 Clark Way
Palo Alto, CA 94304-2333
Phone
(780) 232-7745
NPI assigned
Feb 4, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A104110 CA Primary

Addresses

Primary practice location

1237 Clark Way
Palo Alto, CA 94304-2333

Mailing address

1237 Clark Way
Palo Alto, CA 94304-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1063690808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042333",
            "telephone_number": "780-232-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARSAUT",
        "first_name": "TIM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D., MSC., FRCS(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A104110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.