TIMOTHY G. DUTRA DPM – NPI #1588650162
Orthopaedic 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.

TIMOTHY DUTRA is an orthopaedic surgeon located in SAN LEANDRO, CA. NPPES has assigned the NPI number 1588650162 to TIMOTHY DUTRA on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XX0004X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Foot and Ankle Surgery

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY DUTRA below.

NPI Profile for
TIMOTHY G. DUTRA

NPI Number
1588650162
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY G. DUTRA
Credentials
DPM
Primary location
13847 E 14TH ST
#110A
SAN LEANDRO, CA 94578-2632
Phone: (510) 351-7122 Fax: (510) 351-1797
Mailing address
Same as primary location
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0004X
- Orthopaedic Surgery / Foot and Ankle Surgery (Primary)
CA E33830

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency

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