Active NPI
Timothy Luke Sayles, PA-C
- Medical Physician Assistant
- San Ramon, CA
National Provider Identifier
1851544712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05968
- Practice address
- 12677 Alcosta Blvd Ste 175
San Ramon, CA 94583-4423 - Phone
- (925) 856-5668
- Fax
- (925) 856-4020
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA05968 | TX | Primary |
Addresses
Primary practice location
12677 Alcosta Blvd Ste 175
San Ramon, CA 94583-4423
Mailing address
12677 Alcosta Blvd Ste 175
San Ramon, CA 94583-4423
Phone (925) 856-5668
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05968 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Bay Area Surgical Specialists, Inc a Medical Corporation | Current | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
2301 Camino Ramon
Ste 180
San Ramon, CA 94583
Phone (925) 244-1240
Interoperability endpoints
- tsayles46973@ehr.johnmuirhealth.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1356702526
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1851544712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12677 ALCOSTA BLVD STE 175",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834423",
"telephone_number": "925-856-5668",
"fax_number": "925-856-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12677 ALCOSTA BLVD STE 175",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834423",
"telephone_number": "925-856-5668",
"fax_number": "925-856-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYLES",
"first_name": "TIMOTHY",
"middle_name": "LUKE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA05968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.