TYFMD PLLC NPI 1427416551

NPI Information

NPI: 1427416551
Provider Name: TYFMD PLLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
628 G ST
BRAWLEY, CA
ZIP 92227
Phone: (972) 822-1957
Get Directions

TYFMD PLLC is an ambulatory surgical clinic center in Brawley, CA. TYFMD PLLC NPI is 1427416551. The provider is registered as an organization entity type.

The provider's business location address is:

628 G ST
BRAWLEY, CA
ZIP 92227-544
Phone: (972) 822-1957

The provider's authorized official is Ted Yoshio Fisher .
The authorized official title is President and has the following contact phone number (972) 822-1957.

The enumeration date for this NPI number is 2/3/2016 and was last updated on 2/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A052523	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00220G	MEDICAID	TEXAS
2	0220G	MEDICARE PIN	TEXAS
3	F70549	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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