TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION
NPI 1962516591
Family Medicine in Elk Grove, CA
About Timberlake Family Practice A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMBERLAKE FAMILY PRACTICE A MEDICAL CORPORATION (NPI 1962516591) is a healthcare organization registered as a family medicine in Elk Grove, California and active in the NPI registry since August 2006. The organization lists Joe Le, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timberlake Family Practice A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Timberlake Family Practice A Medical Corporation, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Timberlake Family Practice A Medical Corporation's NPI number?
The NPI number for Timberlake Family Practice A Medical Corporation is 1962516591. It was assigned to this organization in the NPPES registry on August 19, 2006.
Where is Timberlake Family Practice A Medical Corporation located?
Timberlake Family Practice A Medical Corporation is located at 9381 E Stockton Blvd Ste 216, Elk Grove, CA 95624. The listed phone number is (916) 691-5855.
What is Timberlake Family Practice A Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timberlake Family Practice A Medical Corporation enrolled in Medicare?
Yes. Timberlake Family Practice A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Timberlake Family Practice A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Timberlake Family Practice A Medical Corporation. A 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 the clinician's services. The largest specialties are Family Practice (4) and Nurse Practitioner (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Timberlake Family Practice A Medical Corporation was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Timberlake Family Practice A Medical Corporation · NPI 1962516591
Family Medicine organization in Elk Grove, California. Organization record, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1962516591 (Entity type: Organization)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Joe Le, PHYSICIAN
## Practice location
- **Address:** 9381 E STOCKTON BLVD STE 216, Elk Grove, CA 95624-5070
- **Phone:** (916) 691-5855 · **Fax:** (916) 691-6066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (2); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid 222025702 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1962516591) · Data from the CMS NPPES public registry.