Individual provider Active NPI

Tighe Roderick Ohanrahan, MD

  • Family Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1316977846
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G23997 Issued in CA
Practice address
120 La Casa Via
Suite 106
Walnut Creek, CA 94598-3094
Phone
(925) 934-5380
Fax
(925) 934-5192
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G23997 CA Primary

Addresses

Primary practice location

120 La Casa Via
Suite 106
Walnut Creek, CA 94598-3094

Mailing address

120 La Casa Via
Suite 106
Walnut Creek, CA 94598-3094
Phone (925) 934-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G23997CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1316977846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983094",
            "telephone_number": "925-934-5380",
            "fax_number": "925-934-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983094",
            "telephone_number": "925-934-5380",
            "fax_number": "925-934-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANRAHAN",
        "first_name": "TIGHE",
        "middle_name": "RODERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G23997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.