TIMOTHY OLE HOVLAND PA-C NPI 1255343505

NPI Information

  • NPI: 1255343505
  • Provider Name: TIMOTHY OLE HOVLAND, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 2505 SAMARITAN DR STE 210
    SAN JOSE, CA
    ZIP 95124
  • Phone: (408) 358-8300

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NPI Details

Timothy Ole Hovland, PA-C is a surgical physician assistant in San Jose, CA. Timothy Ole Hovland, PA-C NPI is 1255343505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2505 SAMARITAN DR STE 210
SAN JOSE, CA
ZIP 95124-008
Phone: (408) 358-8300
Fax: (408) 358-8301

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 8/13/2006 and was last updated on 9/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA12929CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R23477MEDICARE UPINCALIFORNIA
2P01378879OTHERCALIFORNIARAILROAD MEDICARE PTAN
3DE384ZMEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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