Theodore G Williams, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A23087 Issued in CA

Practice address

1300 Bristol St N
Suite 175
Newport Beach, CA 92660-2951

Phone

(714) 437-7400

Fax

(714) 437-7410

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1659328631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST",
            "address_2": "SUITE 507",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084250",
            "telephone_number": "714-437-7400",
            "fax_number": "714-437-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRISTOL ST N",
            "address_2": "SUITE 175",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602951",
            "telephone_number": "714-437-7400",
            "fax_number": "714-437-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "THEODORE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A23087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A23087",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie A. Williams, APRN
• Layne Carole Williams, PA-C
• Megan Morse Williams, FNP-C
• Melanie Williams
• Ronald Lawrence Williams
• Benjamin Brian Williamson, MD
• Jocelyn Willsey
• Jennifer Wilson, PA-C
• Mickey Wilson, PH.D., LMFT
• Raechelle Leighann Wilson

• Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.