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

Timothy Jergesen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356226526

Timothy Jergesen is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

50 Acacia Ave
San Rafael, CA 94901-2230
Phone: (415) 457-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356226526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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