Healthcare Provider Details

I. General information

NPI: 1013363506
Provider Name (Legal Business Name): TIMOTHY VINCENT FELDHEIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16405 SAND CANYON AVE STE 200
IRVINE CA
92618-3786
US

IV. Provider business mailing address

16405 SAND CANYON AVE STE 200
IRVINE CA
92618-3786
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-7470
  • Fax: 949-764-7471
Mailing address:
  • Phone: 949-764-7470
  • Fax: 949-764-7471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.142493
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberC210022
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME150783
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35.142493
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME150783
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberC210022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: