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TIMOTHY TAREQUE
NPI 1235878547
Nurse Practitioner - Family in Dublin, CA

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
4000 DUBLIN BLVD, DUBLIN, CA 94568(510) 498-2376 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Jun 6, 2022 (2 updates tracked since 2022).

About Timothy Tareque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY TAREQUE (NPI 1235878547) is an individual family provider in Dublin, California, licensed in California (95021114) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235878547
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY TAREQUE
Location Address4000 DUBLIN BLVDDublin, CA 94568-3113
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Phone(510) 498-2376
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1235878547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95021114
4000 DUBLIN BLVD, Dublin, CA 94568
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1450 N Wiget LnWalnut Creek, CA 94598-2408 · Phone (925) 691-9806
Location 24530 Balfour Rd Ste EBrentwood, CA 94513-1507 · Phone (925) 691-9806

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Tareque is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315413465
PECOS Enrollment IDI20260416002933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Tareque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
21 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE M OLIVEIRA M.D.
Obstetrics & Gynecology
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (925) 875-6546
LEAH SHARON MILLHEISER MD
Obstetrics & Gynecology (Gynecology)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (925) 875-6546
NAM X NGUYEN MD
Obstetrics & Gynecology
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (925) 875-6546
ANUK BURLI
Dermatology
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (510) 498-2374
HODA M GHANEM M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (925) 875-6100
DR. ADITYA BHARGAVA M.D.
Internal Medicine (Sleep Medicine)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (510) 419-8268
SAI SANTOSH KUMAR BHUVANAGIRI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (510) 498-2357
DR. JOSHUA EDLINGER DPM
Podiatrist (Foot & Ankle Surgery)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Alameda County (510) 498-2086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Tareque's NPI number?

The NPI number for Timothy Tareque is 1235878547. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Timothy Tareque located?

Timothy Tareque practices at 4000 Dublin Blvd, Dublin, CA 94568. The listed phone number is (510) 498-2376.

What is Timothy Tareque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Tareque enrolled in Medicare?

Yes. Timothy Tareque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Timothy Tareque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Tareque reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Tareque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Tareque was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.