Organization Active NPI

Chris Tsimerekis, M.D., Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fountain Valley, CA
National Provider Identifier
1801907704
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G811410 Issued in CA
Legal business name
CHRIS TSIMEREKIS, M.D., INC.
Practice address
11100 Warner Ave
Suite 354
Fountain Valley, CA 92708-7506
Phone
(714) 549-9927
Fax
(714) 556-9075
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Chris Tsimerekis, M.D.NPI 1942311832
Title
President
Phone
(714) 549-9927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X G811410 CA Primary

Addresses

Primary practice location

11100 Warner Ave
Suite 354
Fountain Valley, CA 92708-7506

Mailing address

11100 Warner Ave
Suite 354
Fountain Valley, CA 92708-7506
Phone (714) 549-9927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121105000538 CA Part B Supplier - Clinic/Group Practice 8628229309 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA; Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 354
Fountain Vly, CA 92708
Phone (714) 549-9927

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1801907704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 354",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-549-9927",
            "fax_number": "714-556-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 354",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-549-9927",
            "fax_number": "714-556-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS TSIMEREKIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "TSIMEREKIS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-549-9927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G811410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.