Healthcare Provider Details

I. General information

NPI: 1720638505
Provider Name (Legal Business Name): CIT CLINICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 TAMAL VISTA BLVD STE 206
CORTE MADERA CA
94925-1127
US

IV. Provider business mailing address

246 MERCEDES CT
DAVIS CA
95616-0280
US

V. Phone/Fax

Practice location:
  • Phone: 415-675-1335
  • Fax:
Mailing address:
  • Phone: 858-922-9132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM TIBBLE
Title or Position: PRESIDENT
Credential: MD
Phone: 858-922-9132