Timothy Patrick Cloherty, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G843840 Issued in CA

Practice address

5652 Calle Real
Goleta, CA 93117-2317

Phone

(805) 967-1539

NPI assigned

Dec 4, 2006

Last updated

Mar 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mission Pathology Consultants, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Barbara, CA
  • NPI 1356409379
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1790843712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 CALLE REAL",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172317",
            "telephone_number": "805-967-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 CALLE REAL",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172317",
            "telephone_number": "805-967-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOHERTY",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G843840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA",
            "identifier": "G843840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ42967Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1356409379",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G843840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalayna Grace Christenson
• Jill M. Christie, PA-C, MPAS
• John Wilkie Chung, DDS
• Laniece P Clausell, LCSW
• Rebecca Clem, DMD
• Stephen Daniel Cohen, M.D.
• Kelsey Renee Collin, PA
• Joseph C Collins, DO
• Kristen Collins, NP
• Daniela M Colorado

• Anatomic Pathology & Clinical Pathology Physician in Goleta, CA
• Providers in Goleta, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.