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DR. TIMOTHY JOSEPH FAIRBANKS MD NPI 1407010556


NPI Information

NPI: 1407010556
Provider Name: DR. TIMOTHY JOSEPH FAIRBANKS, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: RADY CHILDREN'S HOSPITAL - SAN DIEGO

PECOS Registration: Yes

Address:
8010 FROST ST
STE 414
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-7711
Get Directions

DR. Timothy Joseph Fairbanks, MD is a pediatric surgery surgery in San Diego, CA with 24 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Timothy Joseph Fairbanks, MD NPI is 1407010556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8010 FROST ST
STE 414
SAN DIEGO, CA
ZIP 92123-778
Phone: (858) 966-7711

The NPI 1407010556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 12/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryA80244CALIFORNIANo
22086S0120XSurgeryPediatric SurgeryA80244CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.