NPIMap

Organization Active NPI

Tim Corvino MD a Medical Corporation

Doing business as High Desert Gastroenterology

  • Gastroenterology Physician
  • Lancaster, CA
National Provider Identifier
1265080170
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TIM CORVINO MD A MEDICAL CORPORATION
Doing business as
High Desert Gastroenterology
Practice address
1753 W Avenue J Ste B
Lancaster, CA 93534-9823
Phone
(661) 948-0803
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Timothy F Corvino, MD
Title
Owner
Phone
(615) 345-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1753 W Avenue J Ste B
Lancaster, CA 93534-9823

Mailing address

401 Commerce St Ste 600
Nashville, TN 37219-2518
Phone (615) 345-6900

Other names 1

  • High Desert Gastroenterology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LancasterPractice@directaddress.net Direct

National Provider Directory

National Provider Directory

Locations

1753 W Avenue J
Ste B
Lancaster, CA 93534
Phone (661) 948-0803

Interoperability endpoints

  • Direct secure messaging: lancasterpractice@directaddress.net

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1265080170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192518",
            "telephone_number": "615-345-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W AVENUE J STE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935349823",
            "telephone_number": "661-948-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM CORVINO MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "CORVINO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-345-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LancasterPractice@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Entity Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1753 W Avenue J Ste B",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935349823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "High Desert Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.