Timothy L Cannis MD Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G034939 Issued in CA

Legal business name

TIMOTHY L CANNIS MD INC

Practice address

3434 Midway Dr Ste 1002
San Diego, CA 92110-4924

Phone

(619) 225-6200

NPI assigned

Jan 11, 2007

Last updated

Sep 28, 2010By 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. Timothy L Cannis, M.D.NPI 1659373652

Title

President

Phone

(480) 967-6500

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Timothy L Cannis, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1659373652
  Authorized official Same address or phone

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1548310808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28247",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852858247",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 1002",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104924",
            "telephone_number": "619-225-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L CANNIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "CANNIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-967-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G034939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G349390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen M Timmins, RN RD
• Colleen Marie Timmons, L.AC.
• Ann Margrette Timog, NP
• Theresa Cooney Timony, PMHNP-BC
• Timothy H. Rayner, M.D., a Medical Corporation
• Timothy R Dooley M D Professional Corporation
• Timothy R. Garofolo, DDS Inc (San Diego Dentistry Studio)
• Timothy Tien DDS PC (Boulevard Dental Center)
• Darrell Timpa, IDC
• Beth K Timpe, CNMW

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.