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TIMOTHY WALLACE KACZMAR M.D.
NPI 1447244405
Family Medicine in Eldridge, CA

Active since September 07, 2005
15000 ARNOLD DR, ELDRIDGE, CA 95431(707) 938-6000 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Wallace Kaczmar M.d. NPPES

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

TIMOTHY WALLACE KACZMAR M.D. (NPI 1447244405) is an individual family medicine provider in Eldridge, California, licensed in California (G68791) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1447244405
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY WALLACE KACZMARCredential: M.D.
Location Address15000 ARNOLD DREldridge, CA 95431-8900
Mailing Address15000 Arnold DrEldridge, CA 95431-8900 · (707) 938-6000
Phone(707) 938-6000
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateNovember 17, 2016
✔ NPI 1447244405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G68791
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15000 ARNOLD DR, Eldridge, CA 95431
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY BRODERICK CHRISTENSEN MD
Family Medicine
15000 ARNOLD DR
ELDRIDGE, CA 95431
Sonoma County (707) 938-6690

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 Kaczmar's NPI number?

The NPI number for Timothy Kaczmar is 1447244405. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Timothy Kaczmar located?

Timothy Kaczmar practices at 15000 Arnold Dr, Eldridge, CA 95431. The listed phone number is (707) 938-6000.

What is Timothy Kaczmar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Timothy Kaczmar was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.