TCR Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G57303 Issued in CA

Legal business name

TCR MEDICAL CORPORATION

Practice address

9025 Balboa Ave
Suite 105
San Diego, CA 92123-1520

Phone

(858) 571-6800

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J. Piacquadio, M.D.NPI 1770550162

Title

President

Phone

(858) 571-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Joseph Piacquadio, M.D.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1770550162
  Medicare reassignment Care Compare group NPD Authorized official
• Neal D Bhatia, MD

  • Dermatology Physician
  • San Diego, CA
  • NPI 1255349288
  Medicare reassignment Care Compare group
• Ole Warren Snyder, MD

  • Family Medicine Physician
  • Vista, CA
  • NPI 1275557415
  Medicare reassignment NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1902273386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 BALBOA AVE",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231520",
            "telephone_number": "858-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 BALBOA AVE",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231520",
            "telephone_number": "858-571-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCR MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "PIACQUADIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G57303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Kay Tayrien
• Danielle Anne Taysom, M.D.
• Neil Arif Tayyab, M.D.
• Nellie Petronella Tazbaz, D.D.S.
• Tbi Virtual
• Teach and Play ABA Inc
• Luzi Teachenor
• Cadence Teal
• James Ryan Teal, DDS
• Mariana Da Costa Teal, LCSW

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.