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John Tidball, M.D.
NPI 1760580476 · Family Medicine Physician · California, MD
John Tidball, M.D. is a Family Medicine Physician provider in California, MD (NPI 1760580476).
Provider details
- NPI number
- 1760580476
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D52196 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23415 Three Notch Rd
Suite 2054 Wildewood Center
California, MD 20619-4017
Phone: (301) 737-7833
Fax: (301) 737-4865
Street-level locationGet directions
Mailing address
23415 Three Notch Rd
California, MD 20619-4017
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2011-04-18
Frequently asked questions
- What is John Tidball's NPI number?
- John Tidball's National Provider Identifier (NPI) is 1760580476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Tidball's specialty?
- John Tidball is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Tidball located?
- John Tidball's practice location on file with NPPES is 23415 Three Notch Rd, California, MD 20619-4017.
- What is John Tidball's phone number?
- The practice phone number listed in the NPPES registry for John Tidball is (301) 737-7833.
- Is John Tidball's NPI active?
- Yes — John Tidball's NPI (1760580476) is active in the NPPES registry as of the last update on 2011-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.