Individual provider Active NPI

Titima Lin Williams, D.C.

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1437142650
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23433 Issued in CA
Practice address
3022 W Avenue L
Lancaster, CA 93536-4036
Phone
(661) 722-8183
Fax
(661) 722-7897
NPI assigned
Aug 23, 2005
Reactivated
Mar 31, 2006
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23433 CA Primary

Addresses

Primary practice location

3022 W Avenue L
Lancaster, CA 93536-4036

Mailing address

3022 W Avenue L
Lancaster, CA 93536-4036
Phone (661) 722-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110826000630 CA Practitioner - Chiropractic 2668642729 Practice locations: Lancaster, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3022 W Ave L
Lancaster, CA 93536-4036
Phone (661) 722-8183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC23433CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McLean Acupuncture, Inc. PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1437142650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364036",
            "telephone_number": "661-722-8183",
            "fax_number": "661-722-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364036",
            "telephone_number": "661-722-8183",
            "fax_number": "661-722-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TITIMA",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-06-15",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.