Maritoni Tizon-Damiano, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012053 Issued in CA

Practice address

1429 E Thousand Oaks Blvd Ste 100
Thousand Oaks, CA 91362-6228

Phone

(805) 906-2015

NPI assigned

Aug 13, 2019

Last updated

Mar 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Los Robles Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1417983552
  Medicare reassignment NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1225684566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E THOUSAND OAKS BLVD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913626228",
            "telephone_number": "805-906-2015",
            "fax_number": "805-953-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E THOUSAND OAKS BLVD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913626228",
            "telephone_number": "805-906-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZON-DAMIANO",
        "first_name": "MARITONI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin L Tilden, RN
• Candice Till
• Linda Marie Tincher, DDS
• Tatum Machael Tinoco
• Josh Tirado
• TMJ and Sleep Therapy Centre
• TMJ and Sleep Therapy Centre of Conejo Valley
• Amanda Tobias
• Shirley A.Q. Tolman, AMFT
• Tom Measles MD Prof Corp

• Family Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.