TIMOTHY FRANKLIN DUTRA


Address: 1104 N Mission Rd, Los Angeles, CA 90033-1017
Phone: 3233430536

TIMOTHY FRANKLIN DUTRA (NPI# 1457839813) 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) 1457839813
Entity Type Individual
Full Name TIMOTHY FRANKLIN DUTRA
Credential MD
Practice Address 1104 N Mission Rd
Los Angeles
CA 90033-1017
Practice Telephone 3233430536
Mailing Telephone 7024238505
Enumeration Date 2018-07-29
Last Update Date 2018-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZB0001X Pathology
Specialization: Blood Banking & Transfusion Medicine
G26175 CA Allopathic & Osteopathic Physicians

Other Providers TIMOTHY DUTRA

NPI Name Taxonomy Address Enumeration
1588650162 Timothy George Dutra Orthopaedic Surgery 13847 E 14th St, #110a, San Leandro, CA 94578-2632 2005-09-20

Office Location

Street Address 1104 N MISSION RD
City LOS ANGELES
State CA
Zip Code 90033-1017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982724498 Pedro Manuel Ortiz-colom Public Health or Welfare 1104 N Mission Rd, Los Angeles, CA 90033-1017 2007-03-29
1720632482 Job Daniel Augustine Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2019-07-30
1023597952 Jonathan Lucas Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2018-08-10
1114478633 Yulai Wang Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2016-10-19
1730639998 Raffi Djabourian Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2016-10-11
1376093922 Christopher Rogers Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2016-10-06
1659740264 Los Angeles Department of Medical Examiner-coroner Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2015-09-24
1619398252 Juan M Carrillo Specialist 1104 N Mission Rd, Los Angeles, CA 90033-1017 2013-12-28
1245469444 Odey Chukwuemeka Ukpo Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2009-07-08
1518137975 Paul Victor Gliniecki Pathology 1104 N Mission Rd, Medical Examiner-coroner, Los Angeles, Los Angeles, CA 90033-1017 2008-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
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Taxonomy Information

Taxonomy Code 207ZB0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Blood Banking & Transfusion Medicine

Taxonomy Definition

A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497998314 Huy Phu Pham Pathology 1500 San Pablo St # 221, Los Angeles, CA 90033-5313 2009-04-07
1952325565 University Pathology Associates, Inc. Pathology 2011 Zonal Ave, Suite 209, Los Angeles, CA 90089-0181 2006-07-27
1265813539 Zhen Wei Mei Pathology 757 Westwood Plz, Los Angeles, CA 90095-1447 2015-06-12
1184998585 Jeffrey Ming Petersen Pathology 10833 Le Conte Ave, 13-145a Center for Hlth Sci, Los Angeles, CA 90095-3075 2012-03-02
1235460890 Cplm Pathology Outreach Services Pathology 8700 Beverly Blvd, Room 8725, Los Angeles, CA 90048-1804 2010-01-21
1629145503 Joseph C. Thompson Jr. Pathology 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 2006-11-29
1619044518 Michael H. Kanter Pathology 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 2006-11-29
1154413045 Melanie Anne Osby Pathology 1200 N State St, Clinic Tower A7e114, Los Angeles, CA 90033-1029 2006-09-28
1134220338 Judith Pachciarz Pathology 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740770916 Paul Vincent Holland Pathology 1821 Wales Drive, Walnut Creek, CA 94595 2018-05-14
1750802013 Catherine Ann Mazzei Pathology 6230 Claremont Ave, Oakland, CA 94618-1324 2017-06-27
1295145472 Colin Murphy Pathology 300 Pasteur Drive, Rm H1402, Stanford Transfusion Service, Stanford Hospital, Stanford, CA 94305-5626 2014-04-28
1205190337 Yung-kang Chow Pathology 19492 Sierra Raton Rd, Irvine, CA 92603-3825 2012-07-04
1174814065 Elizabeth Sara Allen Pathology 200 W. Arbor Drive - Mc 8720, Ucsd Medical Group, San Diego, CA 92103-8720 2011-04-26
1568751311 Ross Martin Herron Jr. Pathology 100 Red Cross Cir, Pomona, CA 91768-2580 2011-04-01
1992013635 Paul Flanagan Pathology 3090 Bali Circle, Costa Mesa, CA 92626 2010-09-15
1366777443 Morvarid Moayeri Pathology 505 Parnassus Ave # M501e, Box 0100, San Francisco, CA 94143-2204 2009-10-07
1063653350 Rachel Hannako Rangwala Pathology 3101 Via La Selva, Palos Verdes Estates, CA 90274-1049 2009-03-16
1679736276 Jessica Wang-rodriguez Pathology 3350 La Jolla Village Dr # 113, San Diego, CA 92161-0002 2008-07-03
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Competitor

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City LOS ANGELES
Zip Code 90033

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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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