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NPI · 1104545490 · NPPES-sourced

Timothy Pettett Sudrc #16547

ActiveCounselor
NPI Number
1104545490
Type 1 · Individual
Taxonomy Code
101Y00000X
Contact
(510) 337-7950
Primary practice line
Last Updated
Enumerated
Primary practice addressCA · 95119-1809
298 Bernal RdSan Jose, CA 95119-1809
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About this NPIWhat this record shows.

NPI 1104545490 is registered to Timothy Pettett Sudrc #16547, a Counselor practising at 298 Bernal Rd in San Jose, California. Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Timothy Pettett Sudrc #16547 has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Timothy Pettett Sudrc #16547 accepts. To confirm in-network status with your specific health plan, contact Timothy Pettett Sudrc #16547 directly at (510) 337-7950.

Frequently asked

Yes. NPI 1104545490 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (510) 337-7950.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Timothy Pettett Sudrc #16547 is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101Y00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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