MEDICARE: DR. TIM J FRANKS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0200X	Radiology Chiropractor	CA22671	CA
2	111NR0400X	Rehabilitation Chiropractor	CA22671	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ561600Z	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1316003916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIM J FRANKS D.C.

Provider Business Mailing Address
First Line	:	18102 IRVINE BLVD STE 209
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3424
Country	:	US
Telephone Number	:	714-505-0973
Fax Number	:	714-505-3246

Provider Business Practice Location Address
First Line	:	18102 IRVINE BLVD STE 209
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3424
Country	:	US
Telephone Number	:	714-505-0973
Fax Number	:	714-505-3246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/11/2025

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