Timothy J Dauwalder DO a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7875 Issued in CA

Legal business name

TIMOTHY J DAUWALDER DO A PROFESSIONAL MEDICAL CORPORATION

Practice address

150 W 1St St
Suite 300
Claremont, CA 91711-4750

Phone

(909) 621-2522

Fax

(909) 941-6974

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Timothy J Dauwalder, DO

Title

Owner

Phone

(909) 621-2522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1689921884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST",
            "address_2": "SUITE 300",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114750",
            "telephone_number": "909-621-2522",
            "fax_number": "909-941-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST",
            "address_2": "SUITE 300",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114750",
            "telephone_number": "909-621-2522",
            "fax_number": "909-941-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J DAUWALDER DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "DAUWALDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-621-2522",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geiselia Thomas
• Lisa Thomas, RN
• Thrive Path Holdings
• Betty Tia -Conger, MA, BCBA
• Lu Tian, LLA.C
• Treca Diane Tipton, PT
• Maria Christina Tolentino, DO
• Caitlin Toogood, PHARMD
• Jesus Torres Cancino, DC
• Anna M Torres, O.D.

• Family Medicine Physician in Claremont, CA
• Providers in Claremont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.