DR. TIMOTHY JOSEPH KIMBLE (NPI# 1013019850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013019850 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOSEPH KIMBLE |
| Credential | D.C., F.A.C.O. |
| Practice Address |
600 Central Ave Ste G Lake Elsinore CA 92530-2740 |
| Practice Telephone | 9516748711 |
| Practice Fax Number | 9516741156 |
| Mailing Telephone | 9516748711 |
| Mailing Fax Number | 9516741156 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2011-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC15809 | CA | Chiropractic Providers |
| Street Address |
600 CENTRAL AVE STE G |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700179835 | Michael Andrew Chow | Acupuncturist | 600 Central Ave Ste G, Lake Elsinore, CA 92530-2740 | 2011-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356543110 | Andrew T Pham | Chiropractor | 15403 Grand Ave, 10, Lake Elsinore, CA 92530-5587 | 2007-06-04 |
| 1881734952 | Lucas Odahlen | Chiropractor | 31942 Mission Trl, Lake Elsinore, CA 92530-4539 | 2007-02-07 |
| 1477691541 | Anthony Marco Salmon | Chiropractor | 271 San Jacinto River Rd, Lake Elsinore, CA 92530 | 2007-02-02 |
| 1265599120 | Sheri G Frazin | Chiropractor | 31762 Mission Tr, Ste B, Lake Elsinore, CA 92530 | 2007-01-02 |
| 1932271129 | Jerry Raskey | Chiropractor | 16625 Lakeshore Dr, Lake Elsinore, CA 92530-6720 | 2006-11-14 |
| 1861411308 | Joseph B. Steinhouser | Chiropractor | 31900 Mission Trl, Suite 140, Lake Elsinore, CA 92530-4534 | 2006-07-18 |
| 1578899191 | Cesar Augusto Mavila | Chiropractor | 31762 Mission Trl, Suite B, Lake Elsinore, CA 92530-4545 | 2009-11-02 |
| 1912191040 | Charles Ralph Donofrio | Chiropractor | 31641 Auto Center Dr, Suite 1-c, Lake Elsinore, CA 92530-4535 | 2007-08-31 |
| 1275677650 | Hamid Sabet | Chiropractor | 506 W Graham Ave, #101, Lake Elsinore, CA 92530-3666 | 2007-02-17 |
| 1619980075 | William J Haneline | Chiropractor | 600 Central Ave, Suite G, Lake Elsinore, CA 92530-2740 | 2006-08-15 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
Please comment or provide details below to improve the information on DR. TIMOTHY JOSEPH KIMBLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.