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, and ordering and referring status from the CMS PECOS system.
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.
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.
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
- **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.