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

Mr. Timothy R Donnelly, PA

Individual provider Medical Physician Assistant · NPI 1083995609

Mr. Timothy R Donnelly, PA is a Medical Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1501 5th Ave Ste 100
San Diego, CA 92101-3291
Phone: (619) 461-3717
Fax: (619) 461-5663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12169 (CA)

Record details

NPI number1083995609
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 9, 2011
Last updated in NPPESSeptember 27, 2018

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