Johnny Demetria Dauz III, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020319 Issued in CA

Practice address

1004 W Foothill Blvd Ste 200
Upland, CA 91786-3791

Phone

(909) 985-1908

NPI assigned

Oct 6, 2011

Last updated

Mar 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Medicor - Rancho Cucamonga IncGroup PAC ID 3476994666, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIDJBD

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

• Gateway Medicor - Rancho Cucamonga Inc.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1932974896
  Medicare reassignment Care Compare group NPD
• Abraham Chen, D.O., Inc

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1184621666
  NPD
• Susan Biegel MD Inc

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1467632414
  NPD

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1528342607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 ROLLING HILLS DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839156",
            "telephone_number": "408-688-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W FOOTHILL BLVD STE 200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863791",
            "telephone_number": "909-985-1908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8750 Rolling Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928839156",
            "country_code": "US",
            "telephone_number": "408-688-6807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUZ",
        "first_name": "JOHNNY",
        "middle_name": "DEMETRIA",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Duy Vu, OD, Inc.
• Danny Duy Vu, OD, Inc.
• Daryl Caringi D.O. a Medical Corporation
• Dat Nguyen, D.D.S., Inc.
• Timothy J Dauwalder, D.O.
• Gabrianaue Dauzat-Fraiser
• David E Engelhardt MD Inc
• David H Gilbert DDS Ms Mba Inc
• David Isami Igarashi (Baldwin Hills Pharmacy)
• Davis Healthcare Services (DHS) Inc.

• Family Nurse Practitioner in Upland, CA
• Providers in Upland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.