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

Active since November 21, 2008
2876 SYCAMORE DR, SUITE 101, SIMI VALLEY, CA 93065(805) 527-6424(805) 522-0115 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tim Mcnicoll Md Inc NPPES

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

TIM MCNICOLL MD INC (NPI 1144475864) is a healthcare organization registered as a family medicine in Simi Valley, California and active in the NPI registry since November 2008. The organization lists Timothy J Mcnicoll, President/owner, as its authorized official.

NPPES Registry Identity

NPI1144475864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIM MCNICOLL MD INC
Location Address2876 SYCAMORE DR, SUITE 101Simi Valley, CA 93065-1530
Mailing Address2876 Sycamore Dr, Suite 101Simi Valley, CA 93065-1530 · (805) 527-6424 · Fax (805) 522-0115
Phone(805) 527-6424
Fax(805) 522-0115
Organization SubpartNo
Authorized OfficialTimothy J McnicollPresident/owner · (805) 527-6424
Enumeration DateNovember 21, 2008
Last NPPES UpdateFebruary 3, 2009
✔ NPI 1144475864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G48100
Definition
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.
2876 SYCAMORE DR, Simi Valley, CA 93065
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Other Identifiers 3

Medicaid00G481000CA
Medicare PING48100CA
Medicare UPINE89826CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. ABDUL W NAWABI M.D.
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
DR. MARK NEIL BRUCKNER M.D.
Pediatrics
2876 SYCAMORE DR, SUITE 302
SIMI VALLEY, CA 93065
Ventura County (805) 522-4400
MRS. JENNIFER LAUREN LANE PA
Physician Assistant (Medical)
2876 SYCAMORE DR
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
MRS. SERENA MAYE FRIEDMAN M.D.
Family Medicine
2876 SYCAMORE DR, SUITE 304
SIMI VALLEY, CA 93065
Ventura County (805) 526-9242
ADVANCED PAIN MEDICAL GROUP, INC
Non-Pharmacy Dispensing Site
2876 SYCAMORE DR, SUITE 203
SIMI VALLEY, CA 93065
Ventura County (818) 348-7246
JONATHAN KUROHARA MD INC
Family Medicine
2876 SYCAMORE DR, #101
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
ADVANCED PAIN MEDICAL GROUP, INC
Pain Medicine (Interventional Pain Medicine)
2876 SYCAMORE DR, SUITE 203
SIMI VALLEY, CA 93065
Ventura County (818) 348-7246
SERENA M. FRIEDMAN M.D., A MEDICAL CORPORATION
Internal Medicine
2876 SYCAMORE DR, SUITE 304
SIMI VALLEY, CA 93065
Ventura County (805) 526-9242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Mcnicoll MD Inc's NPI number?

The NPI number for Tim Mcnicoll MD Inc is 1144475864. It was assigned to this organization in the NPPES registry on November 21, 2008.

Where is Tim Mcnicoll MD Inc located?

Tim Mcnicoll MD Inc is located at 2876 Sycamore Dr Suite 101, Simi Valley, CA 93065. The listed phone number is (805) 527-6424.

What is Tim Mcnicoll MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tim Mcnicoll MD Inc was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.