DR. TIMOTHY JOSEPH FAIRBANKS


Address: 8010 Frost St, Ste 414, San Diego, CA 92123-2778
Phone: 8589667711

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8010 FROST ST
STE 414
City SAN DIEGO
State CA
Zip Code 92123-2778

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

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.

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