MR. TIMOTHY LATERREUR PHMNP
NPI 1962374348
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Mr. Timothy Laterreur Phmnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY LATERREUR PHMNP (NPI 1962374348) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95037146) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
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 and accepts Medicare assignment
Mr. Timothy Laterreur Phmnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Laterreur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 16 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 92103 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Laterreur's NPI number?
The NPI number for Timothy Laterreur is 1962374348. It was assigned to this individual provider in the NPPES registry on September 23, 2025.
Where is Timothy Laterreur located?
Timothy Laterreur practices at 3930 4th Ave Ste 300, San Diego, CA 92103. The listed phone number is (619) 920-3084.
What is Timothy Laterreur's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Timothy Laterreur enrolled in Medicare?
Yes. Timothy Laterreur is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Timothy Laterreur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Laterreur reassigns Medicare benefits to Healthy Me Nursing, Inc (San Diego, CA). The 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 Laterreur'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 Laterreur was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Timothy Laterreur, PHMNP · NPI 1962374348
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 23, 2025.
## Identity
- **NPI:** 1962374348 (Entity type: Individual)
- **Enumerated:** September 23, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95037146 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3930 4TH AVE STE 300, San Diego, CA 92103-3119
- **Phone:** (619) 920-3084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthy Me Nursing, Inc (NPI 1972221794, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962374348) · Data from the CMS NPPES public registry.