TCR ACUPUNCTURE (NPI# 1114102266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114102266 |
| Entity Type | Organization |
| Organization Name | TCR ACUPUNCTURE |
| Practice Address |
2084 Ventura Blvd Camarillo CA 93010-7931 |
| Practice Telephone | 8053886101 |
| Mailing Telephone | 8053886101 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MR. TIMOTHY RYAN (OWNER/ACUPUNCTURIST) |
| Authorized Official Telephone | 8053886101 |
| Authorized Official Credential | LAC, QME |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC7965 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI - JULIE RYAN | 1841321866 | 01 |
| CA | NPI - TIM RYAN | 1538225966 | 01 |
| CA | BLUE SHIELD PROVIDER ID | ZZZ03814Z | 01 |
| Street Address |
2084 VENTURA BLVD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-7931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185866 | Jeremey Wesley Kinser | Massage Therapist | 2084 Ventura Blvd, Camarillo, CA 93010-7931 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245603265 | Leslie Yedor | Acupuncturist | 5021 Verdugo Way Ste 105-177, Camarillo, CA 93012-8675 | 2015-11-13 |
| 1659699163 | Min Sug Kim | Acupuncturist | 697 Mobil Ave, Camarillo, CA 93010-6315 | 2010-05-07 |
| 1790985281 | Jennifer Marie Ferro | Acupuncturist | 3801 Las Posas Rd Ste 114, Camarillo, CA 93010-1477 | 2007-07-23 |
| 1841321866 | Julie Ann Petyak-ryan | Acupuncturist | 4000 Calle Tecate Ste 211, Camarillo, CA 93012-5287 | 2007-03-08 |
| 1003957507 | Yong Ping Chen | Acupuncturist | 2342 Lomita St, Suite C, Camarillo, CA 93010-6631 | 2007-02-09 |
| 1437216025 | Jonathan Breslow | Acupuncturist | 350 N Lantana St, Suite 220, Camarillo, CA 93010 | 2007-01-02 |
| 1538225966 | Timothy Chistopher Ryan | Acupuncturist | 5800 Santa Rosa Rd Ste 110, Camarillo, CA 93012-7060 | 2006-12-29 |
| 1609941525 | Chrisitna Pabers | Acupuncturist | 215 E Daily Dr, 12, Camarillo, CA 93010-5805 | 2006-11-24 |
| 1336649821 | Inna Loktenko-black | Acupuncturist | 1601 Carmen Dr Ste 216, Camarillo, CA 93010-3167 | 2018-02-20 |
| 1346756558 | Julie Petyak-ryan, M.s., L.ac., Inc | Acupuncturist | 4000 Calle Tecate Ste 211, Camarillo, CA 93012-5287 | 2017-12-26 |
| Find all providers in CAMARILLO | ||||
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| 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.