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Deactivated NPI 1225195811 Deactivated / Inactive NPI Male Practitioner

Timothy Richard White

Specialist • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Timothy White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2007
NPI Deactivation Date June 04, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Timothy White was a registered Specialist practicing in Modesto, CA. Throughout an active medical career spanning 13 years, Timothy White provided care at the practice location at 800 SCENIC DR until profile deactivation on 2020-06-04.

Practice Location & Contact Primary Location

Practice Address

800 Scenic Dr

Modesto, CA 953506131

Telephone 2096024311
Associated Practice Facility / Clinic
🏢 Stanislaus County Bhrs Facility NPI 1053444877

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
154 Specialists

Practicing in Modesto, CA (6446 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sherry Ange , RN

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1003558156

Registered Nurse

Lori Mckinney

Case Manager/Care Coordinator

NPI 1023141520
Mary Goralka , MFT

Marriage & Family Therapist

NPI 1023299732

Marriage and Family Therapist

Kevin Panyanouvong , LCSW

Social Worker - Clinical

NPI 1033245857

Licensed Clinical Social Worker

Petra Orozco-Poust

Counselor - Professional

NPI 1043489529
Sarah Knee

Marriage & Family Therapist

NPI 1073299368

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 04, 2020

Record deactivated on June 04, 2020

NPI Profile Active March 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2015

Registered at 800 SCENIC DR, MODESTO, CA 953506131 (Tel: 2096024311)

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Updated Business Mailing Address March 09, 2015

Registered at 1100 N OLIVE AVE, TURLOCK, CA 953803364 (Tel: 2096679169)

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Provider Name / Credentials Updated March 09, 2015

Recorded as TIMOTHY WHITE

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2015

Specialist

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Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225195811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: March 09, 2015
Deactivation Date: June 04, 2020

Mailing Address

1100 N Olive Ave

Turlock, CA 953803364

Phone: 2096679169

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.