TIMOTHY FRANKLIN DUTRA (NPI# 1457839813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457839813 |
| Entity Type | Individual |
| Full Name | TIMOTHY FRANKLIN DUTRA |
| Credential | MD |
| Practice Address |
1104 N Mission Rd Los Angeles CA 90033-1017 |
| Practice Telephone | 3233430536 |
| Mailing Telephone | 7024238505 |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2018-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
G26175 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650162 | Timothy George Dutra | Orthopaedic Surgery | 13847 E 14th St, #110a, San Leandro, CA 94578-2632 | 2005-09-20 |
| Street Address |
1104 N MISSION RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982724498 | Pedro Manuel Ortiz-colom | Public Health or Welfare | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2007-03-29 |
| 1720632482 | Job Daniel Augustine | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2019-07-30 |
| 1023597952 | Jonathan Lucas | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2018-08-10 |
| 1114478633 | Yulai Wang | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2016-10-19 |
| 1730639998 | Raffi Djabourian | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2016-10-11 |
| 1376093922 | Christopher Rogers | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2016-10-06 |
| 1659740264 | Los Angeles Department of Medical Examiner-coroner | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2015-09-24 |
| 1619398252 | Juan M Carrillo | Specialist | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2013-12-28 |
| 1245469444 | Odey Chukwuemeka Ukpo | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2009-07-08 |
| 1518137975 | Paul Victor Gliniecki | Pathology | 1104 N Mission Rd, Medical Examiner-coroner, Los Angeles, Los Angeles, CA 90033-1017 | 2008-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497998314 | Huy Phu Pham | Pathology | 1500 San Pablo St # 221, Los Angeles, CA 90033-5313 | 2009-04-07 |
| 1952325565 | University Pathology Associates, Inc. | Pathology | 2011 Zonal Ave, Suite 209, Los Angeles, CA 90089-0181 | 2006-07-27 |
| 1265813539 | Zhen Wei Mei | Pathology | 757 Westwood Plz, Los Angeles, CA 90095-1447 | 2015-06-12 |
| 1184998585 | Jeffrey Ming Petersen | Pathology | 10833 Le Conte Ave, 13-145a Center for Hlth Sci, Los Angeles, CA 90095-3075 | 2012-03-02 |
| 1235460890 | Cplm Pathology Outreach Services | Pathology | 8700 Beverly Blvd, Room 8725, Los Angeles, CA 90048-1804 | 2010-01-21 |
| 1629145503 | Joseph C. Thompson Jr. | Pathology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| 1619044518 | Michael H. Kanter | Pathology | 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 | 2006-11-29 |
| 1154413045 | Melanie Anne Osby | Pathology | 1200 N State St, Clinic Tower A7e114, Los Angeles, CA 90033-1029 | 2006-09-28 |
| 1134220338 | Judith Pachciarz | Pathology | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770916 | Paul Vincent Holland | Pathology | 1821 Wales Drive, Walnut Creek, CA 94595 | 2018-05-14 |
| 1750802013 | Catherine Ann Mazzei | Pathology | 6230 Claremont Ave, Oakland, CA 94618-1324 | 2017-06-27 |
| 1295145472 | Colin Murphy | Pathology | 300 Pasteur Drive, Rm H1402, Stanford Transfusion Service, Stanford Hospital, Stanford, CA 94305-5626 | 2014-04-28 |
| 1205190337 | Yung-kang Chow | Pathology | 19492 Sierra Raton Rd, Irvine, CA 92603-3825 | 2012-07-04 |
| 1174814065 | Elizabeth Sara Allen | Pathology | 200 W. Arbor Drive - Mc 8720, Ucsd Medical Group, San Diego, CA 92103-8720 | 2011-04-26 |
| 1568751311 | Ross Martin Herron Jr. | Pathology | 100 Red Cross Cir, Pomona, CA 91768-2580 | 2011-04-01 |
| 1992013635 | Paul Flanagan | Pathology | 3090 Bali Circle, Costa Mesa, CA 92626 | 2010-09-15 |
| 1366777443 | Morvarid Moayeri | Pathology | 505 Parnassus Ave # M501e, Box 0100, San Francisco, CA 94143-2204 | 2009-10-07 |
| 1063653350 | Rachel Hannako Rangwala | Pathology | 3101 Via La Selva, Palos Verdes Estates, CA 90274-1049 | 2009-03-16 |
| 1679736276 | Jessica Wang-rodriguez | Pathology | 3350 La Jolla Village Dr # 113, San Diego, CA 92161-0002 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.