Individual provider Active NPI

Timmy Matthew Joseph, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1669639175
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2085R0202X Issued in CA
Practice address
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone
(310) 301-6800
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2085R0202X CA Primary
Vascular & Interventional Radiology Physician 2085R0204X A109464 CA

Addresses

Primary practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-6800

Other identifiers 1

IdentifierTypeStateIssuer
0A1094650MedicaidCA

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
I20130624000492 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2365681343 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Jude Radiology Medical Group IncGroup PAC ID 7214838002, 61 clinicians

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone 71499230001805

2141 N Harbor Blvd
Suite 16000
Fullerton, CA 92835-3828
Phone 71499230001805

3450 Hillcrest Ave
Antioch, CA 94531-8238
Phone (925) 757-2100

4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone 71499230001805

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
75.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2085R0202XCAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oc Imaging JV, LLC CurrentSince Dec 1, 2021 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Jan 19, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Dec 1, 2021 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2014 Accepting new patients
Halo Medical Group Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

955 W Imperial Hwy
Brea, CA 92821
Phone (714) 449-6900

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

1401 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 691-6432

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

2141 N Harbor Blvd
Ste 16000
Fullerton, CA 92835
Phone (714) 446-5600

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

2151 N Harbor Blvd
Ste 2100
Fullerton, CA 92835
Phone (714) 446-7181

2151 N Harbor Blvd
Ste 1400
Fullerton, CA 92835
Phone (417) 446-5600

1835 Sunny Crest Dr
Fullerton, CA 92835
Phone (714) 446-5101

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

100 E Valencia Mesa Dr
Ste 108
Fullerton, CA 92835

2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

731 N Beach Blvd
Ste 175
La Habra, CA 90631
Phone (562) 697-6030

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

4300 Rose Dr
Yorba Linda, CA 92886
Phone (714) 528-4211

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1669639175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "TIMMY",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "2085R0202X",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A109464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1094650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.