Timberlake Family Practice a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION

Practice address

8120 Timberlake Way
#207
Sacramento, CA 95823-5412

Phone

(916) 691-5855

Fax

(916) 691-6066

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Joe Le, MDNPI 1154345536

Title

President

Phone

(916) 691-5855

Specialties & licenses 1

Addresses

Tax ID family

Timberlake Family Practic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timberlake Family Practice a Medical Corporation

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1962516591
  NPD tax ID

Locations

Practitioners 1

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

• Joe P Le, M.D.

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1154345536
  NPD Authorized official

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1427417559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY",
            "address_2": "#207",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235412",
            "telephone_number": "916-691-5855",
            "fax_number": "916-691-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY",
            "address_2": "#207",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235412",
            "telephone_number": "916-691-5855",
            "fax_number": "916-691-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-691-5855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talya Tillman
• Terrah Tillman, M.A.
• Cristina P. Tillo
• Scott Thomas Tilson, P.T.
• Patti A. Tilton, MD
• Timberlake Pharmacy, Inc. (Timberlake Pharmacy)
• Timberlake Physical Therapy, Inc.
• Briana Raeann Timberlake
• Kenya Times
• Caroline Timmer

• Primary Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.