MR. TIMOTHY J WOLF C.R.N.A.08/ - NPI 1003844200 - Nurse Anesthetist, Certified Registered in West Covina, CA

Q: What is Timothy Wolf's NPI number?

The NPI number for Timothy Wolf is 1003844200. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Timothy Wolf's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Wolf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Timothy J Wolf C.r.n.a.08/ NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY J WOLF C.R.N.A.08/ (NPI 1003844200) is an individual nurse anesthetist, certified registered in West Covina, California, licensed in California (NA061) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1003844200

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. TIMOTHY J WOLFCredential: C.R.N.A.08/

Location Address725 S ORANGE AVEWest Covina, CA 91790-2614

Mailing Address220 W 21st StUpland, CA 91784-1412 · (909) 946-5752 · Fax (909) 985-3858

Phone(909) 946-5752

Fax(909) 985-3858

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003844200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · NA061

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

725 S ORANGE AVE, West Covina, CA 91790

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Other Identifiers 4

OtherNA0000610CA · Blue Shield

Medicare ID-Type UnspecifiedZZZ15368ZCA

Medicare ID-Type UnspecifiedNA061CA

MedicaidRN1879391CA

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOCTORS HOSPITAL OF WEST COVINA, INC.

Skilled Nursing Facility