MEDICARE: TIMOTHY C HO D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E4451	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PO0222676	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013901271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY C HO D.P.M.

Provider Business Mailing Address
First Line	:	3114 SILBURY CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-3649
Country	:	US
Telephone Number	:	408-445-0128
Fax Number	:	408-445-0129

Provider Business Practice Location Address
First Line	:	3150 ALMADEN EXPY
Second Line	:	STE 231A
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1250
Country	:	US
Telephone Number	:	408-445-0128
Fax Number	:	408-445-0129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	02/23/2020

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Directions to “ TIMOTHY C HO D.P.M.” Practice Location

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