NPIMap

Organization Active NPI

Tyson C. Cobb, M.D., Inc

  • Specialist
  • Orange, CA
National Provider Identifier
1922247485
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C35334 Issued in CA
Legal business name
TYSON C. COBB, M.D., INC
Practice address
1140 W la Veta Ave
Suite 640
Orange, CA 92868-4223
Phone
(714) 564-3300
Fax
(949) 231-5112
NPI assigned
Feb 6, 2009
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Tyson C. Cobb, M.DNPI 1710982061
Title
Owner
Phone
(714) 564-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C35334 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave
Suite 640
Orange, CA 92868-4223

Mailing address

1140 W la Veta Ave
Suite 640
Orange, CA 92868-4223
Phone (714) 564-3300

Other identifiers 1

IdentifierTypeStateIssuer
1710982061OtherCAMEDICARE NPI

National Provider Directory

National Provider Directory

Locations

Dept 8321
Los Angeles, CA 90084

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1922247485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684223",
            "telephone_number": "714-564-3300",
            "fax_number": "949-231-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684223",
            "telephone_number": "714-564-3300",
            "fax_number": "949-231-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON C. COBB, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-564-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C35334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1710982061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.