Individual provider Active NPI

Timothy Cornelius Collins, NP-C, DC

  • Family Nurse Practitioner
  • Wilmington, CA
National Provider Identifier
1841334067
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036490 Issued in CA
Practice address
803 Figueroa St
Wilmington, CA 90744-2300
Phone
(310) 830-0863
Fax
(310) 830-6969
NPI assigned
Feb 19, 2007
Last updated
Sep 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95036490 CA Primary
Chiropractor 111N00000X DC15894 CA

Addresses

Primary practice location

803 Figueroa St
Wilmington, CA 90744-2300

Mailing address

803 Figueroa St
Wilmington, CA 90744-2300
Phone (310) 830-0863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090820000451 CA Practitioner - Chiropractic 3375697626 Reassigns benefits to 2 organizations
I20251016004671 CA Practitioner - Nurse Practitioner 3375697626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care and Support ServicesGroup PAC ID 9032619101, 3 clinicians
Harbor Comprehensive Health IncGroup PAC ID 3971775479, 2 clinicians

Practice addresses (Care Compare)

803 Figueroa St
Wilmington, CA 90744-2300
Phone (310) 830-0863

803 N Figueroa St
Wilmington, CA 90744-2300
Phone (310) 830-0863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
DC15894CAMDChiropractor
15894CAMDAcupuncturist
95036490CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Comprehensive Health Inc CurrentSince Sep 1, 2011 Accepting new patients
Integrated Wound Care and Support Services CurrentSince Jul 1, 2025 Accepting new patients

Locations

803 Figueroa St
Wilmington, CA 90744
Phone (310) 830-0863

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1841334067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 FIGUEROA ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442300",
            "telephone_number": "310-830-0863",
            "fax_number": "310-830-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 FIGUEROA ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442300",
            "telephone_number": "310-830-0863",
            "fax_number": "310-830-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TIMOTHY",
        "middle_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "credential": "NP-C, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036490",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

Verify at the official NPI Registry.