Individual provider Active NPI

Timothy A Carlton, MD

  • Interventional Cardiology Physician
  • Walnut Creek, CA
National Provider Identifier
1689772360
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G035050 Issued in CA
Practice address
1399 Ygnacio Valley Rd
Suite 11
Walnut Creek, CA 94598-2884
Phone
(925) 937-1770
Fax
(925) 937-0630
NPI assigned
Sep 20, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G035050 CA Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd
Suite 11
Walnut Creek, CA 94598-2884

Mailing address

1399 Ygnacio Valley Rd
Suite 11
Walnut Creek, CA 94598-2884
Phone (925) 937-1770

Other identifiers 1

IdentifierTypeStateIssuer
4811318MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G035050CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy a Carlton MD a Professional Corp PastSince Jan 1, 1990 Accepting new patients
Diablo Cardiology Medical Group, Inc Past Accepting new patients
University Healthcare Alliance Past Accepting new patients
John Muir Physician Network Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1689772360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "SUITE 11",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-937-1770",
            "fax_number": "925-937-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "SUITE 11",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-937-1770",
            "fax_number": "925-937-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G035050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4811318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.