TIMOTHY NARDINE
NPI 1639435969
Obstetrics & Gynecology in San Jose, CA
About Timothy Nardine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY NARDINE (NPI 1639435969) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (A 143112) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Nardine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Timothy Nardine reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- 2,460 clinicians in this Medicare group
Campbell, CA 95008
- Reassigned Medicare billing, California enrollment
- 59 clinicians in this Medicare group
San Jose, CA 95132
- Reassigned Medicare billing, California enrollment
Manteca, CA 95336
- Reassigned Medicare billing, California enrollment
- 534 clinicians in this Medicare group
Manteca, CA 95336
- Reassigned Medicare billing, California enrollment
- 488 clinicians in this Medicare group
French Camp, CA 95231
- Reassigned Medicare billing, California enrollment
- 512 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Nardine's NPI number?
The NPI number for Timothy Nardine is 1639435969. It was assigned to this individual provider in the NPPES registry on April 11, 2012.
Where is Timothy Nardine located?
Timothy Nardine practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (888) 334-1000.
What is Timothy Nardine's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Timothy Nardine enrolled in Medicare?
Yes. Timothy Nardine is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Timothy Nardine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Nardine reassigns Medicare benefits to 7 organizations: County Of Santa Clara (San Jose, CA), Obstetrix Medical Group Of California, A Professional Corporation (Campbell, CA), Timothy M Nardine MD Medical Corporation (San Jose, CA), County Of San Joaquin (Manteca, CA), First Choice Physician Partners (Manteca, CA) and 2 more organizations, listed in the Medicare section above. Each 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 Timothy Nardine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Nardine 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.
# Timothy Nardine · NPI 1639435969
Obstetrics & Gynecology physician in San Jose, California. Individual provider, active in the CMS NPPES registry since April 11, 2012.
## Identity
- **NPI:** 1639435969 (Entity type: Individual)
- **Enumerated:** April 11, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A 143112 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128
- **Phone:** (888) 334-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): County Of Santa Clara (NPI 1154906634, San Jose, CA); Obstetrix Medical Group Of California, A Professional Corporation (NPI 1629175336, Campbell, CA); Timothy M Nardine MD Medical Corporation (NPI 1164929386, San Jose, CA); County Of San Joaquin (NPI 1417407636, Manteca, CA); First Choice Physician Partners (NPI 1760724637, Manteca, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639435969) · Data from the CMS NPPES public registry.