Tbi Virtual

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X

Legal business name

TBI VIRTUAL

Practice address

3750 Convoy St Ste 301
San Diego, CA 92111-3741

Phone

(866) 551-0080

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Hamid Djalilian, MDNPI 1750331179

Title

Chief Medical Advisor

Phone

(866) 551-0080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamid Reza Djalilian, M.D.

  • Otology & Neurotology Physician
  • Orange, CA
  • NPI 1750331179
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1437833779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113741",
            "telephone_number": "866-551-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113741",
            "telephone_number": "866-551-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI VIRTUAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "DJALILIAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "CHIEF MEDICAL ADVISOR",
        "authorized_official_telephone_number": "866-551-0080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Taylor, M.D.
• Barbara Kay Tayrien
• Danielle Anne Taysom, M.D.
• Neil Arif Tayyab, M.D.
• Nellie Petronella Tazbaz, D.D.S.
• TCR Medical Corporation
• Teach and Play ABA Inc
• Luzi Teachenor
• Cadence Teal
• James Ryan Teal, DDS

• Brain Injury Medicine (Psychiatry & Neurology) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Brain Injury Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.