Active NPI
Timothy Charles Gedney, PA-C
- Physician Assistant
- Murrieta, CA
National Provider Identifier
1467462499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17963
- Practice address
- 27594 Fern Pine Way
Murrieta, CA 92562-2501 - Phone
- (951) 677-2113
- Fax
- (951) 461-7493
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17963 | CA | Primary |
Addresses
Primary practice location
27594 Fern Pine Way
Murrieta, CA 92562-2501
Mailing address
27594 Fern Pine Way
Murrieta, CA 92562-2501
Phone (951) 677-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17963 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1467462499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27594 FERN PINE WAY",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925622501",
"telephone_number": "951-677-2113",
"fax_number": "951-461-7493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27594 FERN PINE WAY",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925622501",
"telephone_number": "951-677-2113",
"fax_number": "951-461-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDNEY",
"first_name": "TIMOTHY",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.