Individual provider Active NPI

Ziad A Tamimi, MD

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1568501674
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C28773 Issued in CA
Practice address
450 Fourth Avenue
Suite 408
Chula Vista, CA 91910-0000
Phone
(619) 691-1990
Fax
(619) 691-5977
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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 C28773 CA Primary

Addresses

Primary practice location

450 Fourth Avenue
Suite 408
Chula Vista, CA 91910-0000

Mailing address

450 Fourth Avenue
Suite 408
Chula Vista, CA 91910-0000
Phone (619) 691-1990

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C28773CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1568501674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FOURTH AVENUE",
            "address_2": "SUITE 408",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919100000",
            "telephone_number": "619-691-1990",
            "fax_number": "619-691-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FOURTH AVENUE",
            "address_2": "SUITE 408",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919100000",
            "telephone_number": "619-691-1990",
            "fax_number": "619-691-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMIMI",
        "first_name": "ZIAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C28773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.