Individual provider Active NPI

Timothy McCajor Hall, MD, PHD

  • Psychiatry Physician
  • Santa Monica, CA
National Provider Identifier
1417101965
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A108863 Issued in CA
Practice address
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone
(310) 319-4700
Fax
(310) 453-5106
NPI assigned
Nov 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A108863 CA Primary

Addresses

Primary practice location

1920 Colorado Ave
Santa Monica, CA 90404-3414

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

300 Ucla Medical Plz Ste 2200
Los Angeles, CA 90095-3414
Phone (310) 825-9989

Other practice location 2

910 Vine St
Los Angeles, CA 90038-2702
Phone (866) 499-8252

Other practice location 3

1399 Roxbury Dr Ste 100
Los Angeles, CA 90035-4709
Phone (310) 557-2273

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
I20110524000555 CA Practitioner - Psychiatry 7911183199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Diego School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 9739083866, 36 clinicians

Practice addresses (Care Compare)

1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (310) 319-4700

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

Merit-based Incentive Payment System (MIPS)

Final score
92.7 of 100Reported as group
Quality
82.59
Promoting interoperability
100
Improvement activities
40
Cost
65.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108863CAMDGeneral Practice Dentistry
A108863CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Jun 1, 2011 Accepting new patients
UC Regents Psychiatry CurrentSince Jun 1, 2011 Accepting new patients

Locations

300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438

300 UCLA Medical Plz
Ste 2200
Los Angeles, CA 90095
Phone (310) 267-6810

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

910 Vine St
Los Angeles, CA 90038
Phone (323) 461-3106

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700

Interoperability endpoints

  • Direct secure messaging: thall37895@direct.uclahealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1417101965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043414",
            "telephone_number": "310-319-4700",
            "fax_number": "310-453-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ucla Medical Plz Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953414",
            "country_code": "US",
            "telephone_number": "310-825-9989",
            "fax_number": "310-267-1908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Vine St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900382702",
            "country_code": "US",
            "telephone_number": "866-499-8252",
            "fax_number": "323-461-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1399 Roxbury Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900354709",
            "country_code": "US",
            "telephone_number": "310-557-2273",
            "fax_number": "310-557-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "middle_name": "MCCAJOR",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A108863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.