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

Active since June 03, 2022PECOS Enrolled
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: July 26, 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
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

Secondary Practice Locations 2

Location 14530 Balfour Rd Ste EBrentwood, CA 94513-1507 · Phone (925) 691-9806
Location 2450 N Wiget LnWalnut Creek, CA 94598-2408 · Phone (925) 691-9806

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Tareque is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Obstetrics & Gynecology
4000 DUBLIN BLVD
DUBLIN, CA 94568
Obstetrics & Gynecology (Gynecology)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Obstetrics & Gynecology
4000 DUBLIN BLVD
DUBLIN, CA 94568
Dermatology
4000 DUBLIN BLVD
DUBLIN, CA 94568
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Internal Medicine (Sleep Medicine)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4000 DUBLIN BLVD
DUBLIN, CA 94568
Podiatrist (Foot & Ankle Surgery)
4000 DUBLIN BLVD
DUBLIN, CA 94568

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Tareque was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.