Active NPI
Timothy Mark Tahmisian, D.C.
- Chiropractor
- San Marcos, CA
National Provider Identifier
1215075965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29178
- Practice address
- 904 W San Marcos Blvd
Ste. 1
San Marcos, CA 92078-1118 - Phone
- (760) 510-1907
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29178 | CA | Primary |
Addresses
Primary practice location
904 W San Marcos Blvd
Ste. 1
San Marcos, CA 92078-1118
Mailing address
904 W San Marcos Blvd
Ste. 1
San Marcos, CA 92078-1118
Phone (760) 510-1907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC29178 | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29178 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1215075965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 W SAN MARCOS BLVD",
"address_2": "STE. 1",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781118",
"telephone_number": "760-510-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 W SAN MARCOS BLVD",
"address_2": "STE. 1",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781118",
"telephone_number": "760-510-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHMISIAN",
"first_name": "TIMOTHY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "DC29178",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.