Active NPI
Timothy Cornelius Collins, NP-C, DC
- Family Nurse Practitioner
- Wilmington, CA
National Provider Identifier
1841334067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95036490
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC15894 | CA | MD | Chiropractor |
| 15894 | CA | MD | Acupuncturist |
| 95036490 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Comprehensive Health Inc | Current | Accepting new patients | |
| Integrated Wound Care and Support Services | Current | 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.
-
- General Practice Physician
- Wilmington, CA
- NPI 1093000606
-
- General Practice Physician
- Wilmington, CA
- NPI 1285520296
-
- Chiropractor
- Wilmington, CA
- NPI 1154514461
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
- Clinica Medica Mi Pueblo, Medical Clinic, Inc
- Coastal Recovery Center
- Amy Coate, CADC I
- Michael Anthony Cobos, CATCII 168450
- Frederick Dontae Coleman-Leopold
- Comfort Family Clinic Inc.
- Complete Care Family Medical Clinic
- Complete Care Family Medical Clinic
- Consumerhealth, Inc. (Newport Dental - Wilmington)
- Consumerhealth, Inc. (Newport Dental Wilmington Ortho)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.