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

Timothy Joseph Souchek, PA-C

Individual provider Physician Assistant · NPI 1194709881

Timothy Joseph Souchek, PA-C is a Physician Assistant in Stanford, California. Graduated from University of California, Davis School of Medicine in 1995, 31 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
31
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Additional practice locations (1)

  • 715 Tank Farm Rd, San Luis Obispo, CA 93401-7068 — (805) 543-5577

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 13772 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA13772 (CA)

Record details

NPI number1194709881
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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