Timothy Maresh MD, Inc,.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G52620 Issued in CA

Legal business name

TIMOTHY MARESH MD, INC,.

Practice address

15725 Pomerado Rd
Suite 207
Poway, CA 92064-2068

Phone

(858) 451-7944

Fax

(858) 451-0082

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Maresh, M.D.

Title

Physician

Phone

(858) 451-7944

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Li Fan, M.D.

  • Obstetrics & Gynecology Physician
  • Poway, CA
  • NPI 1730282658

  Specialist

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720187404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 207",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-451-7944",
            "fax_number": "858-451-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "SUITE 207",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-451-7944",
            "fax_number": "858-451-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY MARESH MD, INC,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARESH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "858-451-7944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CNC302466",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive at Home
• Thrive RX Specialty Pharmacy Corporation
• Jeffrey Tien, L.AC, DIPL.OM
• Sambath Sem Tiep, D.D.S.
• Brita Tiik
• Tram To-Nguyen
• Ling Tong
• Diana Torres
• Megan Torres
• Lexie Ann Tortora

• Specialist in Poway, CA
• Providers in Poway, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.