Individual provider Active NPI

Timothy D. Ungerer, D.O.

  • Anesthesiology Physician
  • San Ramon, CA
National Provider Identifier
1144570300
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A14869 Issued in CA
Practice address
6001 Norris Canyon Rd
San Ramon, CA 94583-5400
Phone
(925) 275-9200
NPI assigned
Sep 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 20A14869 CA Primary

Addresses

Primary practice location

6001 Norris Canyon Rd
San Ramon, CA 94583-5400

Mailing address

894 Richard LN
Danville, CA 94526-2843
Phone (215) 910-1479

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
I20180222002875 CA Practitioner - Anesthesiology 6709008907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Premier Anesthesia of California PCGroup PAC ID 5092897025, 44 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

6001 Norris Canyon Rd
San Ramon, CA 94583-5400
Phone (678) 690-7808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14869CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 12, 2023 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Single Specialty CurrentSince Jan 10, 2018 Accepting new patients
Premier Anesthesia of California, PC Single Specialty CurrentSince Aug 26, 2022 Accepting new patients
Cep America - Anesthesia, PC Single Specialty Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 12, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

100 Park Pl
Ste 110
San Ramon, CA 94583
Phone (510) 972-8798

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

2405 Shadelands Dr
Ste 200
Walnut Creek, CA 94598
Phone (615) 234-5924

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1144570300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 RICHARD LN",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945262843",
            "telephone_number": "215-910-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NORRIS CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835400",
            "telephone_number": "925-275-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGERER",
        "first_name": "TIMOTHY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A14869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.