Timothy Steven Wootten, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16581 Issued in CA

Practice address

1861 Trail Way
Turlock, CA 95382-8654

Phone

(209) 485-1306

NPI assigned

Nov 4, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Area Spine Care

  • Orthopaedic Surgery of the Spine Physician
  • Merced, CA
  • NPI 1720403413
  NPD
• A&G Health Care Service a Professional Corporation

  • Home Health Agency
  • Turlock, CA
  • NPI 1194235366
  NPD (past)
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • King City, CA
  • NPI 1659320893

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1316938616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 TRAIL WAY",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953828654",
            "telephone_number": "209-485-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 TRAIL WAY",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953828654",
            "telephone_number": "209-485-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTEN",
        "first_name": "TIMOTHY",
        "middle_name": "STEVEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PA165810",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0PA165810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Wisler
• Mary Catherine Wolf, DC
• Kristin Lynn Wolfley
• Anthony Kamseng Wong, PHARMD
• Jennifer Wood
• Workplace Wellness
• Lita Marie Worthington, RNC,RNP
• Ho Yan Wu, PA
• Min H. Wu, MD
• Jesse M Wurm

• Physician Assistant in Turlock, CA
• Providers in Turlock, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.