Organization Active NPI

TCR Acupuncture

  • Acupuncturist
  • Camarillo, CA
National Provider Identifier
1114102266
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7965 Issued in CA
Legal business name
TCR ACUPUNCTURE
Practice address
2084 Ventura Blvd
Camarillo, CA 93010-7931
Phone
(805) 388-6101
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mr. Timothy Ryan, LAC, QMENPI 1538225966
Title
Owner/Acupuncturist
Phone
(805) 388-6101

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC7965 CA Primary

Addresses

Primary practice location

2084 Ventura Blvd
Camarillo, CA 93010-7931

Mailing address

2084 Ventura Blvd
Camarillo, CA 93010-7931
Phone (805) 388-6101

Other identifiers 3

IdentifierTypeStateIssuer
1538225966OtherCANPI - TIM RYAN
ZZZ03814ZOtherCABLUE SHIELD PROVIDER ID
1841321866OtherCANPI - JULIE RYAN

National Provider Directory

National Provider Directory

Locations

2084 Ventura Blvd
Camarillo, CA 93010
Phone (805) 302-9657

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1114102266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107931",
            "telephone_number": "805-388-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107931",
            "telephone_number": "805-388-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCR ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "805-388-6101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC, QME"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TIM RYAN",
            "identifier": "1538225966",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "ZZZ03814Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - JULIE RYAN",
            "identifier": "1841321866",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.