Individual
DR. TIMOTHY JERAD REARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-5707
(805) 379-4574
(805) 379-4324
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A120958
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A120958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A120958
STATE LICENSE
CA
Enumeration date
05/03/2012
Last updated
01/20/2026
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