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Timothy Taylor Earle, PA-C, PT

Physician Assistant · San Jose

NPI 1710210802

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Timothy Taylor Earle’s office at (408) 885-5935 to ask if they take your plan before you enroll.

California Medical Board record

Licence C21007 · Cancelled

Licence status: Cancelled · since 1959 · Johns Hopkins University School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Professional record

NPI
1710210802
Licence
CA 20197, CA 21007California C21007: Cancelled
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X); Federal specialty code 225100000X (225100000X)
Mailing address
2400 Moorpark Ave, Suite 316, San Jose, CA, 95128
NPI first listed
2009-09-08
NPI last updated
2011-11-11

This is when the NPI record was last certified, not a medical board exam.