Individual provider Active NPI

Timothy Lee Norcross, D.O.

  • Family Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1528113479
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9826 Issued in CA
Practice address
65 Peninsula Center Ste a
Rolling Hills Estates, CA 90274
Phone
(310) 541-8919
Fax
(310) 541-8959
NPI assigned
Jan 23, 2007
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9826 CA Primary

Addresses

Primary practice location

65 Peninsula Center Ste a
Rolling Hills Estates, CA 90274

Mailing address

65 Peninsula Ctr
Suite a
Rolling Hills Estates, CA 90274-3506
Phone (310) 541-8919

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
I20070918000402 CA Practitioner - Family Practice 0446344774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcross Family Medicine, Inc.Group PAC ID 1355438284, 2 clinicians

Practice addresses (Care Compare)

65 A Peninsula Ctr
Rolling Hills Estates, CA 90274-3506
Phone (310) 541-8919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9826CAMDFamily Medicine Physician
9826CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Norcross Family Medicine Inc Family Medicine CurrentSince Oct 1, 2007 Accepting new patients

Locations

65A Peninsula Ctr
Rolling Hills Estates, CA 90274
Phone (310) 541-8919

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1528113479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PENINSULA CTR",
            "address_2": "SUITE A",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506",
            "telephone_number": "310-541-8919",
            "fax_number": "310-541-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PENINSULA CENTER STE A",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-541-8919",
            "fax_number": "310-541-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORCROSS",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.