Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Earl Wiley, RDO

Individual provider Technician/Technologist · NPI 1750596755

Mr. Timothy Earl Wiley, RDO is a Technician/Technologist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

227 N Jackson Ave
San Jose, CA 95116-1603
Phone: (408) 729-7115
Fax: (408) 729-7115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence D3539 (CA)

Record details

NPI number1750596755
Entity typeIndividual (Type 1)
GenderMale
Credentials RDO
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 9, 2007
Mailing address980 S Baywood Ave, San Jose, CA 95128-3310

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