TIMOTHY GEORGE DUTRA


Address: 13847 E 14th St, #110a, San Leandro, CA 94578-2632
Phone: 5103517122

TIMOTHY GEORGE DUTRA (NPI# 1588650162) 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) 1588650162
Entity Type Individual
Full Name TIMOTHY GEORGE DUTRA
Credential DPM
Practice Address 13847 E 14th St
#110a
San Leandro
CA 94578-2632
Practice Telephone 5103517122
Practice Fax Number 5103511797
Mailing Telephone 5103517122
Mailing Fax Number 5103511797
Enumeration Date 2005-09-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
E33830 CA Allopathic & Osteopathic Physicians

Other Providers TIMOTHY DUTRA

NPI Name Taxonomy Address Enumeration
1457839813 Timothy Franklin Dutra Pathology 1104 N Mission Rd, Los Angeles, CA 90033-1017 2018-07-29

Office Location

Street Address 13847 E 14TH ST
#110A
City SAN LEANDRO
State CA
Zip Code 94578-2632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952307720 Ravinder K Arora Internal Medicine 13847 E 14th St, Suite 217, San Leandro, CA 94578-2632 2005-06-24
1881218923 Curtis Eugene Penn Counselor 13847 E 14th St, San Leandro, CA 94578-2632 2020-06-04
1962024885 Robyn Miller Counselor 13847 E 14th St, San Leandro, CA 94578-2632 2020-05-13
1700359668 Shireen Farsi Counselor 13847 E 14th St, San Leandro, CA 94578-2632 2019-01-03
1366812190 Lawrence Lyons Counselor 13847 E 14th St, San Leandro, CA 94578-2632 2015-10-06
1639549157 Owen Michael Camarco Counselor 13847 E 14th St, San Leandro, CA 94578 2015-09-26
1376961664 Asian Community Mental Health Board Community/Behavioral Health 13847 E 14th St, Suite 116, San Leandro, CA 94578-2632 2014-04-03
1518203728 Nehal Ghevariya Internal Medicine 13847 E 14th St, Ste 115, San Leandro, CA 94578-2632 2012-12-14
1831465814 Arkady Oreper, Md, A Professional Corporation Psychiatry & Neurology 13847 E 14th St, 204, San Leandro, CA 94578-2632 2012-03-24
1841579323 Fortani Medical Corp. Family Medicine 13847 E 14th St, Suite 216, San Leandro, CA 94578-2632 2011-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952886327 Keyla Itzel Monroy Rodriguez Behavioral Analyst 900 143rd Ave, Apt 269, San Leandro, CA 94578 2018-10-01
1962938340 Shaylah Rigmaiden Counselor 3847 E14th St, #215, San Leandro, CA 94578 2017-05-04
1861864449 Laurence Tang Pharmacist 13847 E. 14th Street, San Leandro, CA 94578 2015-10-22
1902227481 Marissa Phan Pharmacist 15555 E. 14th Street #400, San Leandro, CA 94578 2013-12-30
1629403993 Carly Renee Lucas Counselor 2257 Arlington Dr., San Leandro, CA 94578 2013-09-05
1871933317 Javier Huerta Counselor 16335 E. 14th St, San Leandro, CA 94578 2013-06-28
1710231717 Farida M Ismail Non-emergency Medical Transport (VAN) 1601 165th Ave, 107, San Leandro, CA 94578 2012-10-30
1487901989 Amanda Dupuis Counselor 15942 Footlhill Blvd, San Leandro, CA 94578 2012-08-14
1629323506 Mei Xiu Chua Counselor 13666 East 14th Street, San Leandro, CA 94578 2012-07-17
1730445644 Nisreen Mesiwala Kothari Ophthalmology 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 2012-04-04
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215562236 Walk Run Randall Orthopaedic Surgery 28829 Pujol St Apt 718, Temecula, CA 92590-6710 2020-03-10
1003469370 Total Care Podiatry Services, Inc. Orthopaedic Surgery 1663 Eucalyptus Ct, Los Banos, CA 93635-6201 2019-07-16
1508333758 Lc Loggins Orthopaedic Surgery 4041 Altamont Ave, Oakland, CA 94605-2603 2018-10-25
1487996864 Edward Leo Garr Orthopaedic Surgery 1811 Sirrine Dr, Santa Ana, CA 92705-1594 2013-03-22
1124368667 Candice Lillian Brady Orthopaedic Surgery 400 Camarillo Ranch Rd Ste 101, Camarillo, CA 93012-5901 2013-02-20
1477855955 Desert Orthopedic Center A Medical Group Inc Orthopaedic Surgery 45280 Seeley Dr Fl 2 Rm 3lq, La Quinta, CA 92253-6834 2010-12-03
1184710642 Clifford D Merkel Orthopaedic Surgery 1901 West Lugonia Avenue, Suite 120, Redlandss, CA 92374 2006-10-04
1265462337 Osep Armagan Orthopaedic Surgery 141 Triunfo Canyon Rd, Suite 101, Westlake Village, CA 91361-2525 2006-07-04
1184650921 Disorders of The Foot and Ankle A Medical Corporation Orthopaedic Surgery 4130 La Jolla Village Dr., Suite 300, La Jolla, CA 92037-1481 2006-06-23
1417925462 Kenneth S. Jung II Orthopaedic Surgery 6801 Park Terrace Drive, Los Angeles, CA 90045 2006-03-08
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Competitor

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City SAN LEANDRO
Zip Code 94578

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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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