MEDICARE: DR. TIMOTHY CLAYTON ND, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath

General Provider Information

NPI Number	:	1588441919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY CLAYTON ND, LAC

Provider Business Mailing Address
First Line	:	9885 ERMA RD UNIT 328
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-4011
Country	:	US
Telephone Number	:	908-872-9761
Fax Number	:

Provider Business Practice Location Address
First Line	:	15725 POMERADO RD STE 210
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-2059
Country	:	US
Telephone Number	:	858-673-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2025

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