Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Johnny Demetria Dauz III, FNP-C

Individual provider Family Nurse Practitioner · NPI 1528342607

Mr. Johnny Demetria Dauz III, FNP-C is a Nurse Practitioner in Upland, California. Qualified in 2021, 5 years ago. Practices with Gateway Medicor - Rancho Cucamonga Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2011
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1004 W Foothill Blvd Ste 200
Upland, CA 91786-3791
Phone: (909) 985-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8750 Rolling Hills Dr, Corona, CA 92883-9156 — (408) 688-6807

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95020319 (CA)

Record details

NPI number1528342607
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 6, 2011
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Gateway Medicor - Rancho Cucamonga Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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