Individual provider Active NPI

Tiberio F Lindgren, MD

  • Hematology & Oncology Physician
  • Orange, CA
National Provider Identifier
1275585424
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A39277 Issued in CA
Practice address
1010 W la Veta Ave Ste 200
Orange, CA 92868-4301
Phone
(714) 835-1800
Fax
(714) 835-1811
NPI assigned
May 16, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A39277 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave Ste 200
Orange, CA 92868-4301

Mailing address

1010 W la Veta Ave Ste 200
Orange, CA 92868-4301
Phone (714) 835-1800

Other identifiers 2

IdentifierTypeStateIssuer
00A392770734MedicaidCA
WA39277DOtherPPIN

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000524 CA Practitioner - Hematology/Oncology 0941102081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39277CAMDGeneral Practice Dentistry
A39277CAMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: tlindgren1372924@oc.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1275585424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684301",
            "telephone_number": "714-835-1800",
            "fax_number": "714-835-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684301",
            "telephone_number": "714-835-1800",
            "fax_number": "714-835-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "TIBERIO",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A39277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A392770734",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA39277D",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.