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DR. TIMOTHY J DAUWALDER D.O.
NPI 1942379987
Family Medicine in Upland, CA

Active since November 06, 2006PECOS Enrolled
1113 ALTA AVE STE 106, UPLAND, CA 91786(909) 920-6672(909) 931-7192 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy J Dauwalder D.o. NPPES

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

DR. TIMOTHY J DAUWALDER D.O. (NPI 1942379987) is an individual family medicine provider in Upland, California, licensed in California (20A7875) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942379987
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY J DAUWALDERCredential: D.O.
Location Address1113 ALTA AVE STE 106Upland, CA 91786-2803
Mailing Address1113 Alta Ave Ste 106Upland, CA 91786-2803 · (909) 920-6672 · Fax (909) 931-7192
Phone(909) 920-6672
Fax(909) 931-7192
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1942379987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A7875
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1113 ALTA AVE STE 106, Upland, CA 91786
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Other Identifiers 1

Medicare UPINH46288CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy J Dauwalder D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

JUSTIN TOLENTINO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1113 ALTA AVE STE 106
UPLAND, CA 91786
San Bernardino County (909) 638-2475
SAMEER SUNITA HASSAMAL & COMPANY, APC
Psychiatry & Neurology (Psychiatry)
1113 ALTA AVE STE 106
UPLAND, CA 91786
San Bernardino County (909) 638-2475

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 Dauwalder's NPI number?

The NPI number for Timothy Dauwalder is 1942379987. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Timothy Dauwalder located?

Timothy Dauwalder practices at 1113 Alta Ave Ste 106, Upland, CA 91786. The listed phone number is (909) 920-6672.

What is Timothy Dauwalder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Dauwalder enrolled in Medicare?

Yes. Timothy Dauwalder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Dauwalder was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.