MEDICARE: SARA TIMTIM MD

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	2084P0800X	Psychiatry Physician	A162218	CA

General Provider Information

NPI Number	:	1336670629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA TIMTIM MD

Provider Business Mailing Address
First Line	:	4327 GOLDEN CENTER DR
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-6287
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 PONTE MORINO DR STE 120
Second Line	:
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-7450
Country	:	US
Telephone Number	:	530-621-7700
Fax Number	:

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

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	12/31/2025

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