Timberlake Family Practice a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION

Practice address

9381 E Stockton Blvd Ste 216
Elk Grove, CA 95624-5070

Phone

(916) 691-5855

Fax

(916) 691-6066

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joe Le, MDNPI 1154345536

Title

Physician

Phone

(916) 691-5855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Timberlake Family Practic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timberlake Family Practice a Medical Corporation

  • Primary Care Clinic/Center
  • Sacramento, CA
  • NPI 1427417559
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe P Le, M.D.

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1154345536
  Medicare reassignment Care Compare group NPD Authorized official
• Manuel Allen Sabin II, MD

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1811187891
  Medicare reassignment Care Compare group NPD
• Dolores Calderon, M.D.

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1417989666
  Medicare reassignment NPD
• Reed H Vuong, D.O.

  • Family Medicine Physician
  • El Dorado Hills, CA
  • NPI 1295715126
  Medicare reassignment NPD
• Luz Alcaraz, FNP

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1295793552
  Medicare reassignment
• Wendy S Chase, RN, NP

  • Family Nurse Practitioner
  • Elk Grove, CA
  • NPI 1801875398
  Medicare reassignment

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1962516591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD STE 216",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245070",
            "telephone_number": "916-691-5855",
            "fax_number": "916-691-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD STE 216",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245070",
            "telephone_number": "916-691-5855",
            "fax_number": "916-691-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-691-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222025702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia T Tian, M.D.
• Daniel Scott Tiedeman, O.D.
• Elizabeth Lais Opena Tijiboy, MS, CCC- SLP
• Andrea Tillis
• Johnny Lawrence Tillis
• Sarah Alayne Timberman, N.P.
• Antiniah Times
• Suraj Timilsina, MD
• Ricky Tin, D.D.S.
• Kirk Elliott Tiner, DDS

• Family Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.