Individual provider Active NPI

Sara Timtim, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1336670629
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A162218 Issued in CA
Practice address
110 Gough St Ste 402
San Francisco, CA 94102-5971
Phone
(619) 701-6204
Fax
(415) 449-8850
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A162218 CA Primary

Addresses

Primary practice location

110 Gough St Ste 402
San Francisco, CA 94102-5971

Mailing address

110 Gough St Ste 402
San Francisco, CA 94102-5971
Phone (619) 701-6204

Other practice location 1

3100 Ponte Morino Dr Ste 120
Cameron Park, CA 95682-7450
Phone (530) 621-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003210 CA Order and Referring Only - PsychiatryPractitioner - Psychiatry 7517302045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162218CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1336670629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GOUGH ST STE 402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025971",
            "telephone_number": "619-701-6204",
            "fax_number": "415-449-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GOUGH ST STE 402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025971",
            "telephone_number": "619-701-6204",
            "fax_number": "415-449-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Ponte Morino Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827450",
            "country_code": "US",
            "telephone_number": "530-621-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMTIM",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A162218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.