Active NPI
Tighe Roderick Ohanrahan, MD
- Family Medicine Physician
- Walnut Creek, CA
National Provider Identifier
1316977846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G23997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G23997 | CA | MD | Family 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.