TIM G URSICH CHIROPRACTIC INC
NPI 1609922038
Chiropractor - Sports Physician in Rancho Palos Verdes, CA
About Tim G Ursich Chiropractic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM G URSICH CHIROPRACTIC INC (NPI 1609922038), doing business as Marina Sports Medicine, is a healthcare organization registered as a sports physician in Rancho Palos Verdes, California and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Rancho Palos Verdes and lists Timothy G Ursich, Medical Director-president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tim G Ursich Chiropractic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Tim G Ursich Chiropractic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 G Ursich Chiropractic Inc's NPI number?
The NPI number for Tim G Ursich Chiropractic Inc is 1609922038. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Marina Sports Medicine.
Where is Tim G Ursich Chiropractic Inc located?
Tim G Ursich Chiropractic Inc is located at 28633 S Western Ave Suite 200, Rancho Palos Verdes, CA 90275. The listed phone number is (310) 832-2622.
What is Tim G Ursich Chiropractic Inc's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Tim G Ursich Chiropractic Inc enrolled in Medicare?
Yes. Tim G Ursich Chiropractic Inc is registered in the Medicare PECOS enrollment system.
When is Tim G Ursich Chiropractic Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tim G Ursich Chiropractic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Tim G Ursich Chiropractic Inc, in Chiropractic and Physical Therapist in Private Practice. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tim G Ursich Chiropractic Inc was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Tim G Ursich Chiropractic Inc · NPI 1609922038
Sports Physician organization in Rancho Palos Verdes, California. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1609922038 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **Also known as:** Marina Sports Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Timothy Ursich, MEDICAL DIRECTOR-PRESIDENT
## Practice location
- **Address:** 28633 S WESTERN AVE, SUITE 200, Rancho Palos Verdes, CA 90275-0827
- **Phone:** (310) 832-2622 · **Fax:** (310) 832-2621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (2), Physical Therapist in Private Practice (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609922038) · Data from the CMS NPPES public registry.