TIMOTHY DVORAK MA
NPI 1770200537
Counselor - Mental Health in Los Angeles, CA

Q: What is Timothy Dvorak's NPI number?

The NPI number for Timothy Dvorak is 1770200537. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Q: What is Timothy Dvorak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Timothy Dvorak enrolled in Medicare?

No. Timothy Dvorak has opted out of Medicare through October 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Timothy Dvorak was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 24, 2022Opted out of Medicare · through Oct 14, 2027

439 N LARCHMONT BLVD, LOS ANGELES, CA 90004(323) 736-4427 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Timothy Dvorak Ma NPPES

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

TIMOTHY DVORAK MA (NPI 1770200537) is an individual mental health provider in Los Angeles, California and active in the NPI registry since October 2022. He has opted out of Medicare through October 14, 2027.

NPPES Registry Identity

NPI1770200537

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTIMOTHY DVORAKCredential: MA

Location Address439 N LARCHMONT BLVDLos Angeles, CA 90004

Mailing AddressPo Box 480924Los Angeles, CA 90048 · (323) 868-2383

Phone(323) 736-4427

Sole ProprietorYes

Enumeration DateOctober 24, 2022

NPPES CertifiedOctober 23, 2022

✔ NPI 1770200537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

439 N LARCHMONT BLVD, Los Angeles, CA 90004

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Timothy Dvorak Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 14, 2025 through October 14, 2027.

Opt-Out Effective DateOctober 14, 2025

Opt-Out In Effect ThroughOctober 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

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