DR. TIMOTHY JOSEPH FAIRBANKS (NPI# 1407010556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407010556 |
Entity Type | Individual |
Full Name | DR. TIMOTHY JOSEPH FAIRBANKS |
Credential | MD |
Practice Address |
8010 Frost St Ste 414 San Diego CA 92123-2778 |
Mailing Address |
3860 Calle Fortunada Ste #210 San Diego CA 92123-4802 |
Practice Telephone | 8589667711 |
Mailing Telephone | 8583096303 |
Mailing Fax Number | 8583096301 |
Enumeration Date | 2008-07-17 |
Last Update Date | 2011-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | A80244 | CA | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
A80244 | CA | Allopathic & Osteopathic Physicians |
Street Address |
8010 FROST ST STE 414 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-2778 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902888522 | Joseph H Chammas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2005-11-18 |
1780071399 | Eliza Barrett Kasian | Physician Assistant | 8010 Frost St, Suite 602, San Diego, CA 92123-2778 | 2015-04-21 |
1477977932 | Sharp Healthcare | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2014-02-04 |
1609209238 | Stephanie N Mcclafferty | Physician Assistant | 8010 Frost St, Ste 602, San Diego, CA 92123-2778 | 2013-08-19 |
1356665657 | Pamela Cristine Lee | Surgery | 8010 Frost St, 2nd Flr, San Diego, CA 92123-2778 | 2010-03-16 |
1548497373 | Olivia Hsin | Psychologist | 8010 Frost St, 2nd Floor Dec, San Diego, CA 92123-2778 | 2009-06-19 |
1821232778 | Janelle Penny Dela Vina | Nurse Practitioner | 8010 Frost St, Suite 414, San Diego, CA 92123-2778 | 2009-04-22 |
1306091186 | Joshua Cohen Md Inc | Obstetrics & Gynecology | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2008-11-20 |
1487819546 | Michael Richard Zimbric | Psychiatry & Neurology | 8010 Frost St, Ste 510, San Diego, CA 92123-2778 | 2008-07-28 |
1487823324 | Keith A Jackson Md Limited | Specialist | 8010 Frost St, 503, San Diego, CA 92123-2778 | 2008-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447321203 | Nicholas Christopher Saenz | Surgery | 3030 Childrens Way, San Diego, CA 92123-4232 | 2006-11-13 |
1609977859 | Timothy Giles Canty Sr. | Surgery | 3030 Childrens Way, Ste 401, San Diego, CA 92123-4232 | 2006-09-26 |
1619949476 | Walter David Vazquez | Surgery | 34800 Bob Wilson Dr, Pediatric Surgery Clinic, San Diego, CA 92134-1098 | 2006-02-06 |
1356313258 | Sandra Tomita | Surgery | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2006-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.