Individual provider Active NPI

Timothy F Dowling, DO

  • Family Medicine Physician
  • Saint Helena, CA
National Provider Identifier
1215946355
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18094 Issued in CA
Practice address
1222 Pine St Ste a
Saint Helena, CA 94574-1830
Phone
(707) 963-0931
Fax
(707) 254-1779
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C20004476 DE
Family Medicine Physician 207Q00000X 18094 CA Primary

Addresses

Primary practice location

1222 Pine St Ste a
Saint Helena, CA 94574-1830

Mailing address

1310 Club Dr Ste 109
Vallejo, CA 94592-1189

Other identifiers 7

IdentifierTypeStateIssuer
0000745903OtherDELAWARE PHYSICIANS CARE
510064326OtherAETNA HEALTHCARE
0000745903MedicaidDE
6124015OtherBCBS OF DE
0880974000OtherAMERIHEALTH
863637OtherALLIANCE
27825OtherCAVENTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707000940 CA Practitioner - Family Practice 6406915172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C20004476DEMDFamily Medicine Physician
18094CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Jul 1, 2022 Accepting new patients
Ole Health CurrentSince Jul 1, 2022 Accepting new patients

Locations

911 Washington St
Calistoga, CA 94515
Phone (707) 709-2308

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

1222 Pine St
Ste A
Saint Helena, CA 94574
Phone (707) 963-0931

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1215946355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DR STE 109",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PINE ST STE A",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741830",
            "telephone_number": "707-963-0931",
            "fax_number": "707-254-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20004476",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "18094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICIANS CARE",
            "identifier": "0000745903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "510064326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000745903",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DE",
            "identifier": "6124015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0880974000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "863637",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAVENTRY",
            "identifier": "27825",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.