Active NPI
Timothy T. Cambridge, D.C.
- Chiropractor
- Pleasanton, CA
National Provider Identifier
1912279647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33351
- Practice address
- 5410 Sunol Blvd Ste 4
Pleasanton, CA 94566-7654 - Phone
- (408) 809-5638
- Fax
- (855) 218-3370
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 11935 | TX | |
| Chiropractor | 111N00000X | 33351 | CA | Primary |
Addresses
Primary practice location
5410 Sunol Blvd Ste 4
Pleasanton, CA 94566-7654
Mailing address
PO Box 611466
San Jose, CA 95161-1466
Phone (408) 809-5638
Other names 1
- Tanh Huu Phan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11935 | TX | MD | Occupational Health Chiropractor |
| 33351 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1912279647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611466",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951611466",
"telephone_number": "408-809-5638",
"fax_number": "855-218-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 SUNOL BLVD STE 4",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667654",
"telephone_number": "408-809-5638",
"fax_number": "855-218-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMBRIDGE",
"first_name": "TIMOTHY",
"middle_name": "T.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "TX",
"license": "11935",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANH",
"last_name": "PHAN",
"middle_name": "HUU",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.