Healthcare Provider Details

I. General information

NPI: 1275598732
Provider Name (Legal Business Name): TIMOTHY HUGH MCCALMONT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 N WIGET LN STE 250
WALNUT CREEK CA
94598-2454
US

IV. Provider business mailing address

370 N WIGET LN STE 250
WALNUT CREEK CA
94598-2454
US

V. Phone/Fax

Practice location:
  • Phone: 925-278-7592
  • Fax:
Mailing address:
  • Phone: 925-278-7592
  • Fax: 925-261-7349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberA48294
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: