Active NPI
Teresa Maria Mogielnicki, M.D.
- Family Medicine Physician
- El Cajon, CA
National Provider Identifier
1043202765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A44498
- Practice address
- 5442 Sycuan Rd
El Cajon, CA 92019-1816 - Phone
- (619) 445-0707
- Fax
- (619) 445-0988
- NPI assigned
- Aug 18, 2005
- Last updated
- May 29, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A44498 | CA | Primary |
Addresses
Primary practice location
5442 Sycuan Rd
El Cajon, CA 92019-1816
Mailing address
5442 Sycuan Rd
El Cajon, CA 92019-1816
Phone (619) 445-0707
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 |
|---|---|---|---|---|
| I20101220000140 | CA | Practitioner - Family Practice | 4981892874 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44498 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sycuan Tribal Government | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1043202765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5442 SYCUAN RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191816",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5442 SYCUAN RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191816",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGIELNICKI",
"first_name": "TERESA",
"middle_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A44498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.