Dalip Tibb, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A065379 Issued in CA

Legal business name

DALIP TIBB, M.D., P.C.

Practice address

79430 Highway 111
Suite 102
La Quinta, CA 92253-4549

Phone

(760) 625-0569

Fax

(760) 777-4339

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dalip Singh Tibb, M.D.

Title

Owner

Phone

(760) 625-0569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1952494288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79430 HIGHWAY 111",
            "address_2": "SUITE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534549",
            "telephone_number": "760-625-0569",
            "fax_number": "760-777-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79430 HIGHWAY 111",
            "address_2": "SUITE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534549",
            "telephone_number": "760-625-0569",
            "fax_number": "760-777-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALIP TIBB, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "TIBB",
        "authorized_official_first_name": "DALIP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-625-0569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A065379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in La Quinta, CA
• Providers in La Quinta, 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 Jan 27, 2012; 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.