Timothy Ole Hovland, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA12929 Issued in CA

Practice address

2505 Samaritan Dr Ste 210
San Jose, CA 95124-4008

Phone

(408) 358-8300

Fax

(408) 358-8301

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: thovland316179@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1255343505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244008",
            "telephone_number": "408-358-8300",
            "fax_number": "408-358-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244008",
            "telephone_number": "408-358-8300",
            "fax_number": "408-358-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVLAND",
        "first_name": "TIMOTHY",
        "middle_name": "OLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA12929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01378879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Hovelson, P.A
• Danielle Hoversten
• Niloufar Hoveyda
• Tannaz Hoveyda, MA
• Sleen Hovhanessian
• Jordan Howard Green, MD
• Howard Hao Lien, DDS, Prof. Dental Corp. (Cosmo Dental Care)
• H Howard-Johnson, J.D., M.B.A.
• Cynthia S Howard, LCSW
• Lori T Howard, LMFT

• Surgical Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.