Mahmood Bulko Timbo, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15807 Issued in CA

Practice address

10300 Compton Ave
Los Angeles, CA 90002-3628

Phone

(818) 693-4189

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multi Specialty Medical Group Professional CorporationGroup PAC ID 0941792402, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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 Medical Group Professional Corporation

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1487530226
  Medicare reassignment Care Compare group NPD
• Samaritana Medical Clinic,Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1073706289
  Medicare reassignment
• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment
• Mahfouz M. Michael,M.D.,Inc.

  • Internal Medicine Physician
  • San Fernando, CA
  • NPI 1609095587
  NPD (past)
• Victor Valley Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Victorville, CA
  • NPI 1417224007
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1881736452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 KINGSDALE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601405",
            "telephone_number": "818-693-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023628",
            "telephone_number": "818-693-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBO",
        "first_name": "MAHMOOD",
        "middle_name": "BULKO",
        "name_prefix": "Mr.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "15807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Tima, LVN
• Helen Timajchi, CRNA
• Rizi Timane
• Ajibu Timbo
• Alpha G Timbo, LCSW
• Time Medical Biotech
• Girum Haimanot Timkete I
• John Matthew Timmerman, MD
• Lauren Kylene Timmons Sund, SLP
• Penny Timmons, LMFT

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.

Verify at the official NPI Registry.