MR. JOHNNY DEMETRIA DAUZ III FNP-C
NPI 1528342607
Nurse Practitioner - Family in Upland, CA
About Mr. Johnny Demetria Dauz Iii Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHNNY DEMETRIA DAUZ III FNP-C (NPI 1528342607) is an individual family provider in Upland, California, licensed in California (95020319) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Johnny Demetria Dauz Iii Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Johnny Dauz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
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 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Johnny Dauz's NPI number?
The NPI number for Johnny Dauz is 1528342607. It was assigned to this individual provider in the NPPES registry on October 6, 2011.
Where is Johnny Dauz located?
Johnny Dauz practices at 1004 W Foothill Blvd Ste 200, Upland, CA 91786. The listed phone number is (909) 985-1908.
What is Johnny Dauz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Johnny Dauz enrolled in Medicare?
Yes. Johnny Dauz 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 Johnny Dauz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Dauz reassigns Medicare benefits to Gateway Medicor - Rancho Cucamonga Inc. (Rancho Cucamonga, 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 Johnny Dauz'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 Johnny Dauz was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mr. Johnny Demetria Dauz III, FNP-C · NPI 1528342607
Family physician in Upland, California. Individual provider, active in the CMS NPPES registry since October 6, 2011.
## Identity
- **NPI:** 1528342607 (Entity type: Individual)
- **Enumerated:** October 6, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95020319 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1004 W FOOTHILL BLVD STE 200, Upland, CA 91786-3791
- **Phone:** (909) 985-1908
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gateway Medicor - Rancho Cucamonga Inc. (NPI 1932974896, Rancho Cucamonga, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1528342607) · Data from the CMS NPPES public registry.