Individual provider Active NPI

Carmen E. Terreros, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1093975229
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70383 Issued in CA
Practice address
801 N Tustin Ave
Suite 607
Santa Ana, CA 92705-3612
Phone
(714) 541-4145
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70383 CA Primary

Addresses

Primary practice location

801 N Tustin Ave
Suite 607
Santa Ana, CA 92705-3612

Mailing address

801 N Tustin Ave
Suite 607
Santa Ana, CA 92705-3612

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000336 CA Practitioner - Family Practice 2668426859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 N Tustin Ave
Suite 607
Santa Ana, CA 92705-3610
Phone (714) 541-4145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70383CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Terreros MD Inc Family Medicine CurrentSince Mar 1, 2005 Accepting new patients

Locations

801 N Tustin Ave
Ste 607
Santa Ana, CA 92705
Phone (714) 541-4145

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFJAA/Endpoint/HBFJAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1093975229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 607",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 607",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612",
            "telephone_number": "714-541-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERREROS",
        "first_name": "CARMEN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.