Individual provider Active NPI

Timothy Francis Lazarek, N.P.

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1891881215
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11320 Issued in CA
Practice address
3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014
Phone
(619) 287-9730
Fax
(619) 398-1869
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11320 CA Primary

Addresses

Primary practice location

3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014

Mailing address

3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014
Phone (619) 287-9730

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000551 CA Practitioner - Nurse Practitioner 8022047364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabrillo Center for Rheumatic Disease ApcGroup PAC ID 9739315037, 5 clinicians
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

1420 Ocotillo Dr
Suite B
El Centro, CA 92243-4251
Phone (619) 334-4869

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

5030 Camino de la Siesta
Suite 106
San Diego, CA 92108-3117
Phone (619) 334-4869

6719 Alvarado Rd
Suite 203
San Diego, CA 92120-5258
Phone (619) 334-4869

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.86 of 100Reported as group
Quality
10
Improvement activities
0
Cost
70.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Aug 22, 2024 Accepting new patients
Puja Chitkara M.D. a Medical Corporation PastSince Mar 9, 2020 Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: timothy.lazarek.p2@direct.mydohc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1891881215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014",
            "telephone_number": "619-287-9730",
            "fax_number": "619-398-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014",
            "telephone_number": "619-287-9730",
            "fax_number": "619-398-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAREK",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.