Provider Demographics
NPI:1275598732
Name:MCCALMONT, TIMOTHY HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:HUGH
Last Name:MCCALMONT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 N WIGET LN STE 250
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2454
Mailing Address - Country:US
Mailing Address - Phone:925-278-7592
Mailing Address - Fax:925-261-7349
Practice Address - Street 1:370 N WIGET LN STE 250
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2454
Practice Address - Country:US
Practice Address - Phone:925-278-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48294207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A482940OtherMEDI-CAL
CAF09217Medicare UPIN
CA00A482940Medicare ID - Type Unspecified