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MR. TIMOTHY WALKER GLASS
NPI 1942069141
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since March 18, 2024
1400 FLORIDA AVE STE 102, MODESTO, CA 95350(928) 279-6768 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Walker Glass NPPES

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

MR. TIMOTHY WALKER GLASS (NPI 1942069141) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1942069141
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TIMOTHY WALKER GLASS
Location Address1400 FLORIDA AVE STE 102Modesto, CA 95350-4446
Mailing Address1400 Florida Ave Ste 102Modesto, CA 95350-4446
Phone(928) 279-6768
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1942069141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 FLORIDA AVE STE 102, Modesto, CA 95350
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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.

CAMERON PEREZ DO
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
ELAINE H WONG MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
RAJESH SUPRA
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
VENUS SHABGAHI MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
MR. ALEXIS PAUL ISAEV DO
Clinic/Center (Research)
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
TAJINDER SINGH DO
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
PETER VIET-QUOC MAI MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (714) 623-4459
CARMEN CASTILLO MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147

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 Glass's NPI number?

The NPI number for Timothy Glass is 1942069141. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Timothy Glass located?

Timothy Glass practices at 1400 Florida Ave Ste 102, Modesto, CA 95350. The listed phone number is (928) 279-6768.

What is Timothy Glass's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Timothy Glass was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.