Active NPI
Timothy Jesse Nersy, PA-C
- Physician Assistant
- Turlock, CA
National Provider Identifier
1063340941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68422
- Practice address
- 825 Delbon Ave
Turlock, CA 95382-2016 - Phone
- (209) 667-4200
- NPI assigned
- May 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA68422 | CA | Primary |
Addresses
Primary practice location
825 Delbon Ave
Turlock, CA 95382-2016
Mailing address
PO Box 743
Ceres, CA 95307-0743
Phone (209) 614-5407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 Powell St
Emeryville, CA 94608-1826
2100 Powell St
Suite 400
Emeryville, CA 94608-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1063340941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743",
"city": "CERES",
"state": "CA",
"postal_code": "953070743",
"telephone_number": "209-614-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 DELBON AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822016",
"telephone_number": "209-667-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERSY",
"first_name": "TIMOTHY",
"middle_name": "JESSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-12",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.