Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim McNicoll MD Inc

Organization Family Medicine Physician · NPI 1144475864

Tim McNicoll MD Inc is a Family Medicine Physician in Simi Valley, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2876 Sycamore Dr Ste 101
Simi Valley, CA 93065-1530
Phone: (805) 527-6424
Fax: (805) 522-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G48100 (CA)

Record details

NPI number1144475864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy McNicoll — President/Owner · (805) 527-6424
NPI enumeratedNovember 21, 2008
Last updated in NPPESFebruary 3, 2009
Mailing address2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1530

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