Tim Gurtch MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C50806 Issued in CA

Legal business name

TIM GURTCH MD, INC.

Practice address

4276 54-TH Place
Suite a
San Diego, CA 92115

Phone

(619) 265-1070

Fax

(619) 265-5414

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tim Platon Gurtch, MD

Title

President

Phone

(619) 425-5228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Shota Gurchumelidze, M.D.

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1821284449
  NPD (past)
• Pablo Chua Chan, M.D.

  • Family Medicine Physician
  • NPI 1073681383
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1932264801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 54TH PL",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156011",
            "telephone_number": "619-265-1070",
            "fax_number": "619-265-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 54-TH PLACE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92115",
            "telephone_number": "619-265-1070",
            "fax_number": "619-265-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM GURTCH MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "GURTCH",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "PLATON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-425-5228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C50806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Lee Tillman
• Dexter Ybiosa Tillo, RRT
• Luciana Tillotson
• Terry Trent Tilton, RN
• Tim Gurtch MD, Inc
• Tim Le DDS & Christopher Tong DDS
• Christiana Hong Tim, REGISTERED NURSE
• Jeffensen Jay Timacdog
• Samantha Timanus
• Timber Zwickilton, Clinical Psychologist Inc

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.