Timothy M Nardine MD Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TIMOTHY M NARDINE MD MEDICAL CORPORATION

Practice address

2530 Berryessa Rd Ste 218
San Jose, CA 95132-2903

Phone

(408) 356-4959

Fax

(408) 358-8692

NPI assigned

Apr 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Nardine, MDNPI 1639435969

Title

Physician

Phone

(346) 396-3480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Nardine

  • Obstetrics & Gynecology Physician
  • San Jose, CA
  • NPI 1639435969
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1164929386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BERRYESSA RD STE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322903",
            "telephone_number": "408-356-4959",
            "fax_number": "408-358-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BERRYESSA RD STE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322903",
            "telephone_number": "408-356-4959",
            "fax_number": "408-358-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M NARDINE MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "NARDINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "346-396-3480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Timbers, DDS
• Eriko N Timbers, LMFT
• Lisa Timmons
• Timothy a Corcoran DDS Inc
• Timothy C. Ho, DPM, Inc.
• Timothy W. Gifford, DDS, Inc
• Susan Timpe
• Aryana Timsina
• Michael George Tinawi
• Chao-Ting Ting

• Obstetrics & Gynecology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.