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

Conor William Tibbs, PA-C

Individual provider Physician Assistant · NPI 1275257776

Conor William Tibbs, PA-C is a Physician Assistant in San Diego, California. Qualified in 2023, 3 years ago. Practices with Coastal Pain and Spinal Diagnostics Medical Group Inc, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2020 Camino Del Rio N Ste 805
San Diego, CA 92108-1546
Phone: (760) 753-7127
Fax: (760) 334-0399
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 6221 Metropolitan St Ste 201, Carlsbad, CA 92009-3096 — (760) 753-7127

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63761

Record details

NPI number1275257776
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 28, 2022
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Coastal Pain And Spinal Diagnostics Medical Group Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Diego