MARITONI TIZON-DAMIANO NP
NPI 1225684566
Nurse Practitioner - Family in Thousand Oaks, CA
About Maritoni Tizon-damiano Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARITONI TIZON-DAMIANO NP (NPI 1225684566) is an individual family provider in Thousand Oaks, California, licensed in California (95012053) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maritoni Tizon-damiano Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maritoni Tizon-damiano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Thousand Oaks, CA 91360
- Reassigned Medicare billing, California enrollment
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOUSAND OAKS, CA 91362
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 Maritoni Tizon-damiano's NPI number?
The NPI number for Maritoni Tizon-damiano is 1225684566. It was assigned to this individual provider in the NPPES registry on August 13, 2019.
Where is Maritoni Tizon-damiano located?
Maritoni Tizon-damiano practices at 1429 E Thousand Oaks Blvd Ste 100, Thousand Oaks, CA 91362. The listed phone number is (805) 906-2015.
What is Maritoni Tizon-damiano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maritoni Tizon-damiano enrolled in Medicare?
Yes. Maritoni Tizon-damiano is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maritoni Tizon-damiano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maritoni Tizon-damiano reassigns Medicare benefits to Los Robles Emergency Physicians Medical Group (Thousand Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maritoni Tizon-damiano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maritoni Tizon-damiano was last updated on March 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Maritoni Tizon-Damiano, NP · NPI 1225684566
Family physician in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since August 13, 2019.
## Identity
- **NPI:** 1225684566 (Entity type: Individual)
- **Enumerated:** August 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012053 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1429 E THOUSAND OAKS BLVD STE 100, Thousand Oaks, CA 91362-6228
- **Phone:** (805) 906-2015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Los Robles Emergency Physicians Medical Group (NPI 1417983552, Thousand Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225684566) · Data from the CMS NPPES public registry.