Organization Active NPI

Maria Flora G. Trimor-Tamoria Medical Clinic, Inc

  • Family Medicine Physician
  • National City, CA
National Provider Identifier
1104037092
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A55589 Issued in CA
Legal business name
MARIA FLORA G. TRIMOR-TAMORIA MEDICAL CLINIC, INC
Practice address
2240 E Plaza Blvd Ste a
National City, CA 91950-5165
Phone
(619) 267-5884
Fax
(619) 267-6073
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Maria Flora Gallardo Trimor-Tamoria, M.D.NPI 1538263108
Title
Owner
Phone
(619) 267-5884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A55589 CA Primary

Addresses

Primary practice location

2240 E Plaza Blvd Ste a
National City, CA 91950-5165

Mailing address

2240 E Plaza Blvd Ste a
National City, CA 91950-5165
Phone (619) 267-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210716000180 CA Part B Supplier - Clinic/Group Practice 9234471400 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA

National Provider Directory

National Provider Directory

Locations

2240 E Plaza Blvd
Ste A
National City, CA 91950
Phone (619) 267-5884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1104037092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E PLAZA BLVD STE A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505165",
            "telephone_number": "619-267-5884",
            "fax_number": "619-267-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E PLAZA BLVD STE A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505165",
            "telephone_number": "619-267-5884",
            "fax_number": "619-267-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA FLORA G. TRIMOR-TAMORIA MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "TRIMOR-TAMORIA",
        "authorized_official_first_name": "MARIA FLORA",
        "authorized_official_middle_name": "GALLARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-267-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.