TIM MCNICOLL MD INC
NPI 1144475864
Family Medicine in Simi Valley, CA

NPI Status: Active since November 21, 2008

Contact Information

2876 SYCAMORE DR
SUITE 101
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 527-6424
Fax: (805) 522-0115

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  • Organization
  • Family Medicine

About TIM MCNICOLL MD INC

This page provides the complete NPI Profile along with additional information for Tim Mcnicoll Md Inc, a primary care provider established in Simi Valley, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1144475864 assigned on November 2008. The practitioner's primary taxonomy code is 207Q00000X with license number G48100 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Timothy J Mcnicoll Md (President/owner)

NPI
1144475864
Provider Name
TIM MCNICOLL MD INC
Entity Type
Organization
Location Address
2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065
Location Phone
(805) 527-6424
Location Fax
(805) 522-0115
Mailing Address
2876 SYCAMORE DR SUITE 101 SIMI VALLEY, CA 93065
Mailing Phone
(805) 527-6424
Mailing Fax
(805) 522-0115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2008
Last Update Date
02-03-2009
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A primary care provider (PCP) like Tim Mcnicoll Md Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
G48100
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMOTHY J MCNICOLL MD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(805) 527-6424

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G481000MEDICAID (05)CA 
G48100MEDICARE PIN (08)CA 
E89826MEDICARE UPIN (02)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144475864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21848710812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 8 + 7 + 1 + 0 + 8 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1144475864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477549970MR. MICHAEL RICHARD DRUCKER M.D.
Individual
Specialist2876 SYCAMORE DR SUITE 304
SIMI VALLEY, CA 93065
(805) 526-9242
1245226232DR. MARK NEIL BRUCKNER M.D.
Individual
Pediatrics2876 SYCAMORE DR SUITE 302
SIMI VALLEY, CA 93065
(805) 522-4400
1891765574DR. VINOD KUMAR GUPTA M.D.
Individual
Specialist2876 SYCAMORE DR
SIMI VALLEY, CA 93065
(805) 527-6616
1437124849DR. GEORGE P CARBONE M.D.
Individual
Family Medicine2876 SYCAMORE DR SUITE 101
SIMI VALLEY, CA 93065
(805) 527-6424
1841265261DR. GEORGE A DICHTER M.D.
Individual
Internal Medicine2876 SYCAMORE DR SUITE 101
SIMI VALLEY, CA 93065
(805) 527-6424
1184699506DR. ABDUL W NAWABI M.D.
Individual
Family Medicine2876 SYCAMORE DR SUITE 101
SIMI VALLEY, CA 93065
(805) 527-6424
1922073998DR. JERRY A DAVIDSON M.D.
Individual
Family Medicine2876 SYCAMORE DR SUITE 101
SIMI VALLEY, CA 93065
(805) 527-6424
1427023407DR. JONATHAN K KUROHARA M.D
Individual
Family Medicine2876 SYCAMORE DR SUITE 101
SIMI VALLEY, CA 93065
(805) 527-6424
1255378840MRS. SERENA MAYE FRIEDMAN M.D.
Individual
Family Medicine2876 SYCAMORE DR SUITE 304
SIMI VALLEY, CA 93065
(805) 526-9242
1891728937MRS. TAMI LYNN CHRANS R.D.
Individual
Dietitian, Registered2876 SYCAMORE DR SUITE 200
SIMI VALLEY, CA 93065
(805) 527-8055
1356520266SERENA M. FRIEDMAN M.D., A MEDICAL CORPORATION
Organization
Internal Medicine2876 SYCAMORE DR SUITE 304
SIMI VALLEY, CA 93065
(805) 526-9242
1376723601RAJEE ANANDA, M.D., INC.
Organization
Neuromusculoskeletal Medicine, Sports Medicine2876 SYCAMORE DR SUITE 305
SIMI VALLEY, CA 93065
(805) 522-2900
1326218272JONATHAN KUROHARA MD INC
Organization
Family Medicine2876 SYCAMORE DR #101
SIMI VALLEY, CA 93065
(805) 527-6424
1790930402GEORGE DICHTER MD INC
Organization
Internal Medicine2876 SYCAMORE DR SUITE 101
SIMI VALLEY, CA 93065
(805) 527-6424
1306380985ADVANCED PAIN MEDICAL GROUP, INC
Organization
Non-Pharmacy Dispensing Site2876 SYCAMORE DR SUITE 203
SIMI VALLEY, CA 93065
(818) 348-7246
1245776244MRS. JENNIFER LAUREN LANE PA
Individual
Physician Assistant (Medical)2876 SYCAMORE DR
SIMI VALLEY, CA 93065
(805) 527-6424
1912914359DR. MARTIN EDWARD WAREHAM M.D.
Individual
Otolaryngology2876 SYCAMORE DR STE 303
SIMI VALLEY, CA 93065
(805) 379-9646
1528157989BIKRAM J SONI MD MEDICAL CORPORATION
Organization
Internal Medicine (Cardiovascular Disease)2876 SYCAMORE DR SUITE 301
SIMI VALLEY, CA 93065
(805) 306-0304
1326589201ADVANCED PAIN MEDICAL GROUP, INC
Organization
Pain Medicine (Interventional Pain Medicine)2876 SYCAMORE DR SUITE 203
SIMI VALLEY, CA 93065
(818) 348-7246
1669427514DR. RAJESWARI ANANDA M.D.
Individual
Neuromusculoskeletal Medicine & OMM2876 SYCAMORE DR SUITE 305
SIMI VALLEY, CA 93065
(805) 522-2900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144475864, enumerated in the NPI registry as an "organization" on November 21, 2008

The provider is located at 2876 Sycamore Dr Suite 101 Simi Valley, Ca 93065 and the phone number is (805) 527-6424

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 21, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.