Timothy Garrett Iverson, REGISTERED NURSE

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN95358581 Issued in CA

Practice address

1871 9TH St
Santa Monica, CA 90404-4501

Phone

(646) 298-9614

NPI assigned

Feb 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1346047636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 9TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044501",
            "telephone_number": "646-298-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 9TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044501",
            "telephone_number": "646-298-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "TIMOTHY",
        "middle_name": "GARRETT",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RN95358581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Itchon I
• Sarah Ito, O.D.
• Its a Process Therapy
• Rathaphirom Coco IV, D.C.
• Eliot Richard Ivanhoe, MD
• Kristine Erin Ives, LPC, LMFT
• Ivy Joeva
• Gary K. Iwamoto, D.C.
• Eugene Iwasa, LAC
• Omi Iwasaki, PT, DPT, OCS, ATC

• Addiction (Substance Use Disorder) Registered Nurse in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.