Active NPI
Timothy Robert Wares
- Personal Care Attendant
- Coulterville, CA
National Provider Identifier
1699412338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 3660 Highway 132
Coulterville, CA 95311-9722 - Phone
- (209) 404-8009
- NPI assigned
- May 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3660 Highway 132
Coulterville, CA 95311-9722
Mailing address
3660 Highway 132
Coulterville, CA 95311-9722
Phone (209) 404-8009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1699412338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 HIGHWAY 132",
"city": "COULTERVILLE",
"state": "CA",
"postal_code": "953119722",
"telephone_number": "209-404-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 HIGHWAY 132",
"city": "COULTERVILLE",
"state": "CA",
"postal_code": "953119722",
"telephone_number": "209-404-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARES",
"first_name": "TIMOTHY",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coulterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.