Individual provider Active NPI

Joshua Timock, M.D.

  • Pediatrics Physician
  • Santa Rosa, CA
National Provider Identifier
1841386240
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
208736 Issued in CA
Practice address
925 Corporate CNTR Pkwy
Santa Rosa, CA 95407-5451
Phone
(707) 303-3600
NPI assigned
Oct 4, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 208736 CA Primary

Addresses

Primary practice location

925 Corporate CNTR Pkwy
Santa Rosa, CA 95407-5451

Mailing address

932 Silver Rain Rd
Lawrence, KS 66049-5044
Phone (970) 646-3583

Other names 1

  • Josh McCarthy Timock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130502000278 TX Practitioner - Pediatric MedicinePractitioner - Family Practice 6901807478 Reassigns benefits to 3 organizations
I20260512002980 CA Practitioner - Pediatric Medicine 6901807478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Stony Point Rd
Suite 200
Santa Rosa, CA 95401-4132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208736CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince May 5, 2014 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 29, 2013 Accepting new patients
Taos Picuris Health Center CurrentSince Nov 13, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 29, 2013 Accepting new patients
Powell County Memorial Hospital Association Inc Past Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1841386240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SILVER RAIN RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495044",
            "telephone_number": "970-646-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CORPORATE CNTR PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075451",
            "telephone_number": "707-303-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOCK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "208736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSH",
            "last_name": "TIMOCK",
            "middle_name": "MCCARTHY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.