Timothy Maresh, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G52620 Issued in CA

Practice address

15725 Pomerado Rd
Suite 207
Poway, CA 92064

Phone

(858) 451-7944

Fax

(858) 451-0082

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Obstetrics & Gynecology Li Fan MD Inc

  • Medical Specialty Clinic/Center
  • Poway, CA
  • NPI 1588047849
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245339985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 207",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-451-7944",
            "fax_number": "858-451-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 207",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-451-7944",
            "fax_number": "858-451-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESH",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G52620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CNC302466",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manorcare Health Services LLC
• Manveen Boparai DDS Inc
• Abby Lahart Marcato, OTR/L
• Marcelo R. Rivera, MD, Inc.
• Robert Jeffrey Marcus, D.M.D.
• Adriana Marin
• Sydney Marin
• James Francis Marino, M.D.
• Grecia Marinvivanco
• Mark W. Collins.D.D.S.,Inc.

• Obstetrics & Gynecology Physician in Poway, CA
• Providers in Poway, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.