TIMOTHY M NARDINE MD MEDICAL CORPORATION
NPI 1164929386
Obstetrics & Gynecology in San Jose, CA

Q: What is Timothy M Nardine MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 13, 2018

2530 BERRYESSA RD STE 218, SAN JOSE, CA 95132(408) 356-4959(408) 358-8692 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2024, Apr 13, 2018 (2 updates tracked since 2018).

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About Timothy M Nardine Md Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY M NARDINE MD MEDICAL CORPORATION (NPI 1164929386) is a healthcare organization registered as an obstetrics & gynecology in San Jose, California and active in the NPI registry since April 2018. The organization lists Timothy Nardine, Physician, as its authorized official.

NPPES Registry Identity

NPI1164929386

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameTIMOTHY M NARDINE MD MEDICAL CORPORATION

Location Address2530 BERRYESSA RD STE 218San Jose, CA 95132-2903

Mailing Address2530 Berryessa Rd Ste 218San Jose, CA 95132-2903 · (408) 356-4959 · Fax (408) 358-8692

Phone(408) 356-4959

Fax(408) 358-8692

Organization SubpartNo

Authorized OfficialTimothy NardinePhysician · (346) 396-3480

Enumeration DateApril 13, 2018

Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration

NPPES CertifiedMarch 8, 2024

✔ NPI 1164929386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2530 BERRYESSA RD STE 218, San Jose, CA 95132

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy M Nardine Md Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy M Nardine MD Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Nardine

Obstetrics/Gynecology

NPI 1639435969

751 S BASCOM AVE
San Jose, CA 95128

(888) 334-1000

✔ PECOS5.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy M Nardine MD Medical Corporation's NPI number?

The NPI number for Timothy M Nardine MD Medical Corporation is 1164929386. It was assigned to this organization in the NPPES registry on April 13, 2018.

Where is Timothy M Nardine MD Medical Corporation located?

Timothy M Nardine MD Medical Corporation is located at 2530 Berryessa Rd Ste 218, San Jose, CA 95132. The listed phone number is (408) 356-4959.

What is Timothy M Nardine MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy M Nardine MD Medical Corporation enrolled in Medicare?

Yes. Timothy M Nardine MD Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timothy M Nardine MD Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Timothy M Nardine MD Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Timothy M Nardine MD Medical Corporation was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.