Tirso Del Junco Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A41067 Issued in CA

Practice address

14860 Roscoe Blvd
200
Panorama City, CA 91402-4665

Phone

(818) 997-5000

Fax

(818) 997-5005

NPI assigned

Feb 21, 2006

Last updated

Jan 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

State licenses

Practice roles

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.

• Fredric L Edelman MD a Prof Corp

  • Specialist
  • Encino, CA
  • NPI 1952582249
  NPD (past)
• Gary W. Smith M.D. & Donald Motzkin

  dba Smith & Motzkin Urology

  • Urology Physician
  • Van Nuys, CA
  • NPI 1831389659
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1306811625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "200",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-997-5000",
            "fax_number": "818-997-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "200",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-997-5000",
            "fax_number": "818-997-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL JUNCO",
        "first_name": "TIRSO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A41067",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A41067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra R Decordova, LCSW
• Belinda Sophia Defelice Jarrett, DPT
• Alexander Erick Deiongh, DO
• Sandra W. Deirmenjian, DDS
• Nelia Florin Del Barrio, REGISTERED NURSE
• Manuel Antonio Deleon, DDS
• Rayan Demikhovskiy, FNP-BC
• Dental Center of San Miguel
• Dental Office of Harouni and Elgrichi (Dream Team Dental)
• Dental Wonderland

• Surgery Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.