Abram Pagtakhan Tirona, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

132609 Issued in CA

Practice address

2127 Olympic Pkwy Ste 1006-344
Chula Vista, CA 91915-1359

Phone

(530) 431-8494

NPI assigned

Jun 3, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1992931067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 OLYMPIC PKWY STE 1006-344",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151359",
            "telephone_number": "530-431-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 OLYMPIC PKWY STE 1006-344",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151359",
            "telephone_number": "530-431-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRONA",
        "first_name": "ABRAM",
        "middle_name": "PAGTAKHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "132609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Aye Tin, D.D.S.
• Irene Malabanan Ting, D.M.D
• Jenna Lee Tinger, RN
• Maricon Tinoco
• Mehrafarid Tiraie, MD
• Adriana Elena Tisdale
• Ernesto Tiznado-Garcia, MD
• Esmeralda Tlazola
• Hamilton To, LPCC
• Justin Elias Tobar Manosalva

• General Practice Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.