TIMOTHY WAYNE PACE PA NPI 1518148873

NPI Information

  • NPI: 1518148873
  • Provider Name: TIMOTHY WAYNE PACE, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7702 MEANY AVE STE 101
    BAKERSFIELD, CA
    ZIP 93308
  • Phone: (661) 843-7830

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NPI Details

Timothy Wayne Pace, PA is a physician assistant in Bakersfield, CA with 18 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Timothy Wayne Pace, PA NPI is 1518148873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

7702 MEANY AVE STE 101
BAKERSFIELD, CA
ZIP 93308-199
Phone: (661) 843-7830
Fax: (661) 843-7831

The NPI 1518148873 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 11/15/2007 and was last updated on 12/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1939NEBRASKANo
2363A00000XPhysician AssistantPA9104343FLORIDANo
3363AS0400XPhysician AssistantSurgicalPA644ALABAMANo
4363AS0400XPhysician AssistantSurgicalPA9104343FLORIDANo
5363AS0400XPhysician AssistantSurgicalPA1385MAINENo
6363A00000XPhysician AssistantPA23139CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102978408OTHERALABAMAMEDICARE PTAN
2262936800MEDICAIDFLORIDA

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: 3/30/2025

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