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

Dr. Timothy Joseph Fairbanks, MD

Individual provider Surgery Physician · NPI 1407010556

Dr. Timothy Joseph Fairbanks, MD is a General Surgery in San Diego, California. Qualified in 2000, 26 years ago. Practices with Rady Children's Hospital San Diego, a 161-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8010 Frost St Ste 414
San Diego, CA 92123-2778
Phone: (858) 966-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence A80244 (CA)
Surgery Physician Taxonomy 208600000X · Licence A80244 (CA)

Record details

NPI number1407010556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2008
Last updated in NPPESDecember 8, 2011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Rady Children'S Hospital San Diego — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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