Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy J Roth, DO

Individual provider Family Medicine Physician · NPI 1144213604

Dr. Timothy J Roth, DO is a Family Practice in Clovis, California. Qualified in 1985, 41 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

255 W Bullard Ave
Clovis, CA 93612-0861
Phone: (559) 299-2128
Fax: (559) 299-3494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A5200 (CA)

Record details

NPI number1144213604
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESJuly 29, 2010
Mailing address255 W Bullard Ave, 102, Clovis, CA 93612-0861

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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