Healthcare Provider Details

I. General information

NPI: 1235595232
Provider Name (Legal Business Name): MR. TIMOTHY GILPATRICK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

733 RUTLAND AVE THE JOHNS HOPKINS SCHOOL OF MEDICINE
BALTIMORE MD
21205
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA189219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: