MR. TIMOTHY EARL WILEY (NPI# 1750596755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750596755 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY EARL WILEY |
| Credential | RDO |
| Practice Address |
227 N Jackson Ave San Jose CA 95116-1603 |
| Mailing Address |
980 S Baywood Ave San Jose CA 95128-3310 |
| Practice Telephone | 4087297115 |
| Practice Fax Number | 4087297115 |
| Mailing Telephone | 4089858265 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | D3539 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1713912 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366654030 | Timothy D Wiley | Dentist | 1001 Gibson Bay Drive, Suite 202, Richmond, KY 40475 | 2007-05-04 |
| Street Address |
227 N JACKSON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063461747 | Rasik Kansara | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-05-09 |
| 1871996520 | Misty Mallari | Registered Nurse | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2014-10-08 |
| 1427450592 | Caroline Ladines | Pharmacist | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2014-09-20 |
| 1639511488 | Maria S Govorkova | Ophthalmology | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2013-07-22 |
| 1013224633 | Verity Medical Foundation | Family Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2010-09-02 |
| 1073708541 | Vincent Liu | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-09-07 |
| 1073648739 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-02-22 |
| 1487708855 | Unilab Corporation | Clinical Medical Laboratory | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-01-23 |
| 1326132515 | Mary J. Richardson | Registered Nurse | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-10-03 |
| 1669576864 | Arthur Feldman | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791961 | Sophia Boettcher | Technician/Technologist | 367 Santana Hts Unit 4014, San Jose, CA 95128-2078 | 2019-07-13 |
| 1629540844 | Deborah Jeansonne Toms | Technician/Technologist | 275 Hospital Pkwy Ste 425, San Jose, CA 95119-1138 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765393 | Jessica Jewel Morrow | Technician/Technologist | 466 Cory Ct, Santa Maria, CA 93455-5525 | 2020-09-16 |
| 1811515505 | Steven Pier Hoekstra | Technician/Technologist | 800 W 16th St, Long Beach, CA 90813-1413 | 2020-07-08 |
| 1023632775 | Hifinite Inc | Technician/Technologist | 11413 W Bernardo Ct, San Diego, CA 92127-1639 | 2020-05-28 |
| 1073136982 | Daniel Pere | Technician/Technologist | 9037 Pecor Way, Orangevale, CA 95662-4791 | 2020-05-26 |
| 1821621814 | Amber Moreno-perez | Technician/Technologist | 3200 San Diego Way, Sacramento, CA 95820-1447 | 2020-02-18 |
| 1013548015 | Nancy Afholderbach | Technician/Technologist | 265 Heron Dr, Pittsburg, CA 94565-1916 | 2020-01-28 |
| 1265070452 | Brain Cloud Diagnostics | Technician/Technologist | 9727 Elk Grove Florin Rd Ste 160, Elk Grove, CA 95624-2291 | 2019-12-18 |
| 1902444714 | John Bridenbeck | Technician/Technologist | 3478 Buskirk Ave Ste 218, Pleasant Hill, CA 94523-4346 | 2019-12-12 |
| 1215574629 | Blythe Lucy Ann Lehmann | Technician/Technologist | 420 Folsom Rd Ste B, Roseville, CA 95678-2767 | 2019-12-04 |
| 1164070298 | Urban Eyewear Inc | Technician/Technologist | 3345 Rosecrans St Ste 3b, San Diego, CA 92110-4225 | 2019-09-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.