| NPI | 1386742617 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-20 |
| Last Updated | 2019-01-16 |
| Mailing Address | 510 Superior Ave, Ste 200g Newport Beach, CA 92663-3664 United States Phone: (949) 791-6767 📍 View Map |
| Primary Practice Address | 510 Superior Ave, Ste 200g Newport Beach, CA 92663-3664 United States Phone: (949) 791-6767 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363AS0400X – Physician Assistant, Surgical | NC | 104195 |
| Yes | 363A00000X – Physician Assistant | NC | 104195 |
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About NPI 1386742617
Timothy James Patterson PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1386742617. The primary specialty listed is Physician Assistant. The provider is located in Newport Beach, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1386742617?
NPI 1386742617 belongs to Timothy James Patterson PA-C, a Physician Assistant in Newport Beach, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1386742617 active?
The current status of NPI 1386742617 in the NPPES registry is Active. The record was last updated on 2019-01-16.
What specialty is NPI 1386742617?
NPI 1386742617 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1386742617?
You can verify NPI 1386742617 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1386742617?
The primary practice address on file for NPI 1386742617 is 510 Superior Ave, Newport Beach, CA 92663-3664. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1386742617 issued?
NPI 1386742617 was first issued (enumerated) on 2006-09-20. The NPPES record was last updated on 2019-01-16.
Practice Location Map
Timothy James Patterson is located at 510 Superior Ave, Newport Beach, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Timothy James Patterson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1386742617. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant, Surgical | 104195 | NC |
| Physician Assistant | 104195 | NC |