TLC Dermatology Medical Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A88191 Issued in CA

Legal business name

TLC DERMATOLOGY MEDICAL CENTER, INC.

Practice address

2570 Goodwater Ave
Suite 300
Redding, CA 96002-1548

Phone

(530) 221-3376

Fax

(530) 221-3378

NPI assigned

Mar 10, 2015

Last updated

Mar 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tinyee Tsai Chang, MDNPI 1386861409

Title

MD

Phone

(530) 221-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGAACA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tinyee Tsai Chang, MD

  • Dermatology Physician
  • Redding, CA
  • NPI 1386861409
  Medicare reassignment NPD Authorized official
• Aseel Abu-Nasser

  • Dermatology Physician
  • Redding, CA
  • NPI 1609641711

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1174916506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 GOODWATER AVE",
            "address_2": "#300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-221-3376",
            "fax_number": "530-221-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 GOODWATER AVE",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021548",
            "telephone_number": "530-221-3376",
            "fax_number": "530-221-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DERMATOLOGY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TINYEE",
        "authorized_official_middle_name": "TSAI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "530-221-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Tioran, D.O.
• Jessica McRae Tippetts, ASW
• Joseph Harrison Tippetts, PA-C
• Joanne L Tippin, RD
• Carl E Tjerandsen, PA
• Clark Joseph Tobler, FNP
• David L Toivainen, P.T.
• James Virgil Tomasin, M.S.P.T.
• Richard Brent Tompkins, M.D.
• Kathleen Toney, FNP

• Specialist in Redding, CA
• Providers in Redding, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.