Active NPI
Terry L Hand, MD
- Ambulatory Surgical Clinic/Center
- Greenbrae, CA
National Provider Identifier
1033294228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- G20662
- Practice address
- 900 S Eliseo Dr
Suite 103
Greenbrae, CA 94904-2134 - Phone
- (415) 461-6742
- Fax
- (415) 461-6782
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | G20662 | CA | Primary |
Addresses
Primary practice location
900 S Eliseo Dr
Suite 103
Greenbrae, CA 94904-2134
Mailing address
900 S Eliseo Dr
Suite 103
Greenbrae, CA 94904-2134
Phone (415) 461-6742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G20662 | Other | CA | CA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000596 | CA | Practitioner - Plastic and Reconstructive Surgery | 2264692623 | Practice locations: Greenbrae, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20662 | CA | MD | Occupational Therapist |
| G20662 | CA | MD | Ambulatory Surgical Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033294228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S ELISEO DR",
"address_2": "SUITE 103",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042134",
"telephone_number": "415-461-6742",
"fax_number": "415-461-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S ELISEO DR",
"address_2": "SUITE 103",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042134",
"telephone_number": "415-461-6742",
"fax_number": "415-461-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAND",
"first_name": "TERRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "G20662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "G20662",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.