Tyfmd PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A052523 Issued in CA

Legal business name

TYFMD PLLC

Practice address

628 G St
Brawley, CA 92227-2544

Phone

(972) 822-1957

NPI assigned

Feb 3, 2016

Last updated

Feb 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ted Yoshio Fisher, MDNPI 1538178355

Title

President

Phone

(972) 822-1957

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted Yoshio Fisher, M.D.

  • Vascular Surgery Physician
  • Brawley, CA
  • NPI 1538178355
  Authorized official Same address or phone

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1427416551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 RIDGE RD",
            "address_2": "STE 101-52",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326670",
            "telephone_number": "972-822-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272544",
            "telephone_number": "972-822-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYFMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "YOSHIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-822-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A052523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Brawley, CA
• Providers in Brawley, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.