Active NPI
Timothy J. O'Neill, M.D.
- Internal Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A67900
- Practice address
- 2850 6TH Ave
Suite 503
San Diego, CA 92103-6308 - Phone
- (619) 260-0670
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A67900 | CA | Primary |
Addresses
Primary practice location
2850 6TH Ave
Suite 503
San Diego, CA 92103-6308
Mailing address
4077 5TH Ave
Suite 503
San Diego, CA 92103-2105
Phone (858) 245-9611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A67900A | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111
435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67900 | CA | MD | Pharmacist |
| A67900 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Internal Medicine | Current | Accepting new patients |
| Scripps Health Inpatient Providers Medical Group Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Internal Medicine | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Prima Primary Medical Association, Inc | Internal Medicine | Past | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
4077 5th Ave
Ste 503
San Diego, CA 92103
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Interoperability endpoints
- toneill18818@scrippshlth.medalliesdirect.net
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- La Jolla, CA
- NPI 1619108503
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1023002029
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1831172295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4077 5TH AVE",
"address_2": "SUITE 503",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032105",
"telephone_number": "858-245-9611",
"fax_number": "619-785-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 6TH AVE",
"address_2": "SUITE 503",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036308",
"telephone_number": "619-260-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "TIMOTHY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A67900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A67900A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.