Active NPI
Timothy Charles Rodwell, M.D., PH.D., M.P.H
- Public Health & General Preventive Medicine Physician
- La Jolla, CA
National Provider Identifier
1043407620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- A89199
- Practice address
- 9500 Gilman Dr
M.C. 0622
La Jolla, CA 92093-5004 - Phone
- (858) 822-4353
- Fax
- (858) 534-4642
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | A89199 | CA | Primary |
Addresses
Primary practice location
9500 Gilman Dr
M.C. 0622
La Jolla, CA 92093-5004
Mailing address
9500 Gilman Dr
M.C. 0507
La Jolla, CA 92093-0507
Phone (858) 822-4353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89199 | CA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1043407620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"address_2": "M.C. 0507",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920930507",
"telephone_number": "858-822-4353",
"fax_number": "858-534-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"address_2": "M.C. 0622",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920935004",
"telephone_number": "858-822-4353",
"fax_number": "858-534-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODWELL",
"first_name": "TIMOTHY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D., PH.D., M.P.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "A89199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.