NPIMap

Individual provider Active NPI

Guy Teran, M.D.

  • Internal Medicine Physician
  • Ukiah, CA
National Provider Identifier
1013992452
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53014 Issued in CA
Practice address
260 Hospital Dr
Ukiah, CA 95482-4533
Phone
(707) 463-8000
Fax
(707) 462-1111
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53014 CA Primary

Addresses

Primary practice location

260 Hospital Dr
Ukiah, CA 95482-4533

Mailing address

PO Box 2739
Ukiah, CA 95482-2739
Phone (707) 463-8000

Other identifiers 1

IdentifierTypeStateIssuer
00A530140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000491 CA Practitioner - Internal Medicine 6305734112 Reassigns benefits to 1 organization
Practice locations: Ukiah, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendocino Community Health Clinic IncGroup PAC ID 6305755455, 57 clinicians

Practice addresses (Care Compare)

1165 S Dora St
Ukiah, CA 95482-6353
Phone (707) 468-1010

333 Laws Ave
Ukiah, CA 95482-6540
Phone (458) 292-2167

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Willits, CA, CCN 557283
  • Silverline Staff Home Health Home health agency, Fremont, CA, CCN 559548
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Redwood Cove Healthcare Center Nursing home, Ukiah, CA, CCN 055853
  • Ukiah Post Acute Nursing home, Ukiah, CA, CCN 055734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53014CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince Aug 23, 2010 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Aug 23, 2010 Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
Ukiah Adventist Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pacific Redwood Medical Services Internal Medicine Past Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

1165 S Dora St
Ste A1
Ukiah, CA 95482
Phone (707) 468-1010

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

Interoperability endpoints

  • Direct secure messaging: gteran335505@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Redwood Cove Healthcare CenterUkiah, CA, CCN 055853 Skilled nursing facility Contracted Managing Employee Jan 5, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1013992452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2739",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822739",
            "telephone_number": "707-463-8000",
            "fax_number": "707-462-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824533",
            "telephone_number": "707-463-8000",
            "fax_number": "707-462-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A530140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.