Individual provider Active NPI

Timothy Don Schenkenberger

  • Basic Emergency Medical Technician
  • San Juan Capistrano, CA
National Provider Identifier
1992133631
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E3081924 Issued in CA
Practice address
31756 Via Belardes
San Juan Capistrano, CA 92675-3031
Phone
(949) 375-2229
NPI assigned
Oct 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E3081924 CA Primary

Addresses

Primary practice location

31756 Via Belardes
San Juan Capistrano, CA 92675-3031

Mailing address

31756 Via Belardes
San Juan Capistrano, CA 92675-3031
Phone (949) 375-2229

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

LicenseStateTypeSpecialty
E3081924CAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1992133631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31756 VIA BELARDES",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753031",
            "telephone_number": "949-375-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31756 VIA BELARDES",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753031",
            "telephone_number": "949-375-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKENBERGER",
        "first_name": "TIMOTHY",
        "middle_name": "DON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E3081924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.