Peter Timmerman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56382 Issued in CA

Practice address

1506 4TH St
Santa Rosa, CA 95404-4018

Phone

(707) 527-1315

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1629549654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NAUTICAL CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917542",
            "telephone_number": "715-529-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044018",
            "telephone_number": "707-527-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorin Lin Tierney, MFT
• Helena Tietze, AMFT, APCC, MT-BC
• Tiffany Moore, O.D. Inc, a Professional Optometric Corporation (Empire Optometry)
• Theresa Tillett
• Susan J. Timko
• Joshua Timock, M.D.
• Parker Don Timothy, PA
• Sara Tindaro, RD
• Anahy Tinoco Lopez
• Mariela Rosa Tinoco Rojas

• Physician Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.