Individual provider Active NPI

Timothy Nardine

  • Obstetrics & Gynecology Physician
  • San Jose, CA
National Provider Identifier
1639435969
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A 143112 Issued in CA
Practice address
751 S Bascom Ave
San Jose, CA 95128
Phone
(888) 334-1000
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A 143112 CA Primary

Addresses

Primary practice location

751 S Bascom Ave
San Jose, CA 95128

Mailing address

143 N Main St
Milpitas, CA 95035-4322

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
I20161010001791 CA Practitioner - Obstetrics/Gynecology 3870897838 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 143112CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Aug 24, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Aug 24, 2019 Accepting new patients
County of San Joaquin CurrentSince Aug 24, 2019 Accepting new patients
County of Santa Clara Obstetrics & Gynecology CurrentSince Aug 18, 2018 Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
County of Santa Clara CurrentSince Aug 18, 2018 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

File 50978
Los Angeles, CA 90074

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

143 N Main St
Milpitas, CA 95035
Phone (408) 885-1234

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: tnardine91803@santaclaravalley.direct-ci.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1639435969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "888-334-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDINE",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A 143112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.