MR. TIMOTHY LATERREUR PHMNP
NPI 1962374348
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: 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.

Q: 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.

Q: 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 9 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.

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment

3930 4TH AVE STE 300, SAN DIEGO, CA 92103(619) 920-3084 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1962374348

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. TIMOTHY LATERREURCredential: PHMNP

Location Address3930 4TH AVE STE 300San Diego, CA 92103-3119

Mailing Address3930 4th Ave Ste 300San Diego, CA 92103-3119 · (619) 920-3084

Phone(619) 920-3084

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 23, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1962374348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95037146

3930 4TH AVE STE 300, San Diego, CA 92103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5597253534

PECOS Enrollment IDI20251022002079

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICHOLE AMARO, LCSW

Social Worker (Clinical)