Tichenor Lowman Miller Medical Group Inc

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

A70356 Issued in CA

Legal business name

TICHENOR LOWMAN MILLER MEDICAL GROUP INC

Practice address

1760 Termino Ave
Suite 308
Long Beach, CA 90804-2105

Phone

(562) 933-0249

Fax

(562) 933-3747

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Torin Cunningham, M.D.NPI 1861436891

Title

President

Phone

(562) 933-0249

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 8

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

• Torin J Cunningham, M.D.

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1861436891
  Medicare reassignment NPD Authorized official
• Emory Christopher Chang, MD

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1962593962
  Medicare reassignment NPD
• Anna Marie Acosta, M.D.

  • Orthopaedic Hand Surgery Physician
  • Long Beach, CA
  • NPI 1285933424

  Single Specialty

  NPD (past)
• Lisa Ann Cao, M.D.

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1053774505
  NPD (past)
• Peter Hahn, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1952742744
  NPD (past)
• Farhad John Hajaliloo, M.D.

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1780674507
  NPD (past)
• Kenneth Young Huh, M.D.

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1861664849
  NPD (past)
• Amy Katherine Williams, M.D.

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1871881458
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1801991963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908011354",
            "telephone_number": "562-933-0249",
            "fax_number": "562-933-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 308",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-933-0249",
            "fax_number": "562-933-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICHENOR LOWMAN MILLER MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "TORIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-933-0249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "A70356",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A70356",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A70356",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "A70356",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A70356",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A70356",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "A70356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jasmin Tibayan
• Sarah Elizabeth Tickfer, PT, DPT
• Cheyenna Tidwell
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• Sarah Elizabeth Tidwell
• Alicia Tiedra

• Pediatric Orthopaedic Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.