Individual provider Active NPI

Stephen Paul del Rosario Tinio, M.D.

  • Family Medicine Physician
  • Oceanside, CA
National Provider Identifier
1093973018
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A103256 Issued in CA
Practice address
3142 Vista Way Ste 100
Oceanside, CA 92056-3627
Phone
(760) 291-6700
Fax
(760) 754-3859
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A103256 CA
Family Medicine Physician 207Q00000X A103256 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X A103256 CA

Addresses

Primary practice location

3142 Vista Way Ste 100
Oceanside, CA 92056-3627

Mailing address

225 E 2ND Ave
Escondido, CA 92025-4249
Phone (760) 291-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000929 CA Practitioner - Family Practice 6507931367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

3142 Vista Way
Suite 100
Oceanside, CA 92056-3627
Phone (866) 228-2236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103256CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graybill Medical Group Inc Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Palomar Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

332 S Juniper St
Ste 100
Escondido, CA 92025
Phone (760) 291-6650

225 E 2nd Ave
Escondido, CA 92025

3142 Vista Way
Ste 100
Oceanside, CA 92056
Phone (760) 721-3200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1093973018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-471-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563627",
            "telephone_number": "760-291-6700",
            "fax_number": "760-754-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINIO",
        "first_name": "STEPHEN",
        "middle_name": "PAUL DEL ROSARIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A103256",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A103256",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A103256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.