Tim G. Ursich Chiropratic, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC12564 Issued in CA

Legal business name

TIM G. URSICH CHIROPRATIC, INC.

Practice address

28633 S Western Ave
Suite 200
Rancho Palos Verdes, CA 90275-0827

Phone

(310) 832-2622

Fax

(310) 832-2621

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy G Ursich, D.C.

Title

Medical Director-President

Phone

(310) 832-2622

Specialties & licenses 1

Addresses

Other names 1

• Marina Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Nicholas J Lozica, RPT

  • Physical Therapist
  • Torrance, CA
  • NPI 1184950289
  Medicare reassignment Care Compare group NPD
• Timothy Joshua Ursich, DC

  • Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1518392521

  Sports Physician

  Medicare reassignment Care Compare group NPD
• Mayur M Mistry, PT

  • Physical Therapist
  • Olney, MD
  • NPI 1306271895

  CA

  Medicare reassignment Care Compare group
• Tim G Ursich, DC

  • Sports Physician Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1053590794
  Medicare reassignment NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1609922038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750827",
            "telephone_number": "310-832-2622",
            "fax_number": "310-832-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750827",
            "telephone_number": "310-832-2622",
            "fax_number": "310-832-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29000 S Western Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902750826",
            "country_code": "US",
            "telephone_number": "310-832-2622",
            "fax_number": "310-832-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIM G. URSICH CHIROPRATIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "URSICH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "310-832-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC12564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marina Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Carl Tillman, LPCC
• Lori Ann Tillotsonjahelka, COTA
• Maribel Toman
• Katelyn Rose Tomasello, BS IN PSYCHOLOGY
• Liana Tomasevic, MS CCC SLP
• Estelita Garcia Torres, D.M.D.
• Twilight Nursing Anesthesia Services Inc

• Sports Physician Chiropractor in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.