| Tim Mcnicoll Md Inc | |
|
2876 Sycamore Dr Suite 101 Simi Valley CA 93065-1530 | |
| (805) 527-6424 | |
| (805) 522-0115 |
| Full Name | Tim Mcnicoll Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2876 Sycamore Dr, Simi Valley, California |
| Authorized Official Name and Position | Timothy J Mcnicoll (PRESIDENT/OWNER) |
| Authorized Official Contact | 8055276424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Mcnicoll Md Inc 2876 Sycamore Dr Suite 101 Simi Valley CA 93065-1530 Ph: (805) 527-6424 | Tim Mcnicoll Md Inc 2876 Sycamore Dr Suite 101 Simi Valley CA 93065-1530 Ph: (805) 527-6424 |
| NPI Number | 1144475864 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 02/03/2009 |
| Medicare PECOS PAC ID | 1658434634 |
|---|---|
| Medicare Enrollment ID | O20090117000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144475864 | NPI | - | NPPES |
| 00G481000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G48100 (California) | Primary |
| Provider Name | Timothy J Mcnicoll |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790750115 PECOS PAC ID: 8325052293 Enrollment ID: I20060130000923 |
Pulmonary Critical Care Associates Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2925 N Sycamore Dr, Suite # 306, Simi Valley, CA 93065 Phone: 805-583-4111 Fax: 805-583-2041 | |
Abdul W Nawabi Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065 Phone: 805-527-6424 Fax: 805-522-0115 | |
Lakeside Community Healthcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3605 Alamo St, Suite 100, Simi Valley, CA 93063 Phone: 805-522-6577 Fax: 805-522-7030 | |
North Valley G.i. Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1156 Swallow Ln, Simi Valley, CA 93065 Phone: 805-526-6016 Fax: 805-791-3992 | |
Daniel Ghiyam M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2840 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-526-8360 | |
Ans Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5775 E Los Angeles Ave Ste 125, Simi Valley, CA 93063 Phone: 213-757-8729 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Alamo St # 201, Simi Valley, CA 93065 Phone: 805-578-9620 |