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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
E33830 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457839813 | Timothy Franklin Dutra | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2018-07-29 |
Street Address |
13847 E 14TH ST #110A |
City | SAN LEANDRO |
State | CA |
Zip Code | 94578-2632 |
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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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 |
Find all providers in zip 94578 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
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. |
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 |
Find all providers with the same taxonomy |
City | SAN LEANDRO |
Zip Code | 94578 |
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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.