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DR. TIMOTHY JOSEPH FAIRBANKS MD
NPI 1407010556
Surgery - Pediatric Surgery in San Diego, CA

Active since July 17, 2008PECOS EnrolledAccepts Medicare Assignment
8010 FROST ST, STE 414, SAN DIEGO, CA 92123(858) 966-7711 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy Joseph Fairbanks Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY JOSEPH FAIRBANKS MD (NPI 1407010556) is an individual pediatric surgery provider in San Diego, California, licensed in California (A80244) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1407010556
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. TIMOTHY JOSEPH FAIRBANKSCredential: MD
Location Address8010 FROST ST, STE 414San Diego, CA 92123-2778
Mailing Address3860 Calle Fortunada, Ste #210San Diego, CA 92123-4802 · (858) 309-6303 · Fax (858) 309-6301
Phone(858) 966-7711
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 17, 2008
Last NPPES UpdateDecember 8, 2011
✔ NPI 1407010556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in CA · A80244
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License A80244 (CA)
8010 FROST ST, San Diego, CA 92123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Joseph Fairbanks Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446305775
PECOS Enrollment IDI20100910000996
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT J MANLY M.D.
Surgery
8010 FROST ST
SAN DIEGO, CA 92123
San Diego County (858) 939-8350
DR. ROBERT M. ADAMSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8010 FROST ST, SUITE 408
SAN DIEGO, CA 92123
San Diego County (858) 939-7471
DR. ALLAN GAMAGAMI M.D.
Surgery
8010 FROST ST, 2ND FLR
SAN DIEGO, CA 92123
San Diego County (858) 499-2600
DR. LISA S MILLER MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
8010 FROST ST, SUITE 406
SAN DIEGO, CA 92123
San Diego County (858) 467-1899
DR. SUSAN BOIKO MD
Dermatology (Pediatric Dermatology)
8010 FROST ST, STE 602
SAN DIEGO, CA 92123
San Diego County (858) 966-6795
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF NEURO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
8010 FROST ST, SUITE 510
SAN DIEGO, CA 92123
San Diego County (858) 966-5819
SAN DIEGO CENTER FOR REPRODUCTIVE SURGERY
Clinic/Center (Ambulatory Fertility Facility)
8010 FROST ST, PLAZA LEVEL
SAN DIEGO, CA 92123
San Diego County (858) 505-5500
COLLEEN P MCNALLY MD
Obstetrics & Gynecology
8010 FROST ST, #301
SAN DIEGO, CA 92123
San Diego County (858) 292-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Fairbanks's NPI number?

The NPI number for Timothy Fairbanks is 1407010556. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Timothy Fairbanks located?

Timothy Fairbanks practices at 8010 Frost St Ste 414, San Diego, CA 92123. The listed phone number is (858) 966-7711.

What is Timothy Fairbanks's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Timothy Fairbanks enrolled in Medicare?

Yes. Timothy Fairbanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Timothy Fairbanks was last updated on December 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.