Active NPI
Timothy Morgan Patchin, NP, PA
- Family Nurse Practitioner
- Seaside, CA
National Provider Identifier
1851409429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9178
- Practice address
- 1150 Fremont Blvd
Seaside, CA 93955-5715 - Phone
- (831) 899-8100
- Fax
- (831) 899-8105
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9178 | CA | Primary |
Addresses
Primary practice location
1150 Fremont Blvd
Seaside, CA 93955-5715
Mailing address
1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6013
Phone (831) 796-1304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ15686Z | Other | CA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9178 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851409429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 BUNKER HILL WAY",
"address_2": "SUITE 100",
"city": "SALINAS",
"state": "CA",
"postal_code": "939066013",
"telephone_number": "831-796-1304",
"fax_number": "831-757-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 FREMONT BLVD",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939555715",
"telephone_number": "831-899-8100",
"fax_number": "831-899-8105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATCHIN",
"first_name": "TIMOTHY",
"middle_name": "MORGAN",
"credential": "NP, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "9178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "ZZZ15686Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seaside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.