Medisina Sa Familia, PA, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C50610 Issued in CA

Legal business name

MEDISINA SA FAMILIA, PA, MD

Practice address

1850 Sullivan Ave Ste 510
Daly City, CA 94015-2230

Phone

(650) 580-6479

Fax

(650) 735-5580

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Teresita Yee Degamo, M.D.NPI 1558449363

Title

Ceo

Phone

(650) 580-6479

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresita Yee Degamo, MD

  • Internal Medicine Physician
  • Daly City, CA
  • NPI 1558449363
  NPD (past) Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1124202296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5607",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940835607",
            "telephone_number": "650-580-6479",
            "fax_number": "650-735-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE STE 510",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152230",
            "telephone_number": "650-580-6479",
            "fax_number": "650-735-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISINA SA FAMILIA, PA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "DEGAMO",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "YEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-580-6479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C50610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "#ED965A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duane Medeiros, MSN-NP
• Tamara Medeiros
• Medhealth Nursing, LLC
• Medical Center for Diabetes & Metabolic Care Inc.
• Hilda Yamel Medina, M.S.W, L.C.S.W.
• Krystie Mei
• Richard Allen Meisels, DVM
• Maria Mejia Perez
• Estefani Mejia
• Danielle Melen

• Primary Care Clinic/Center in Daly City, CA
• Providers in Daly City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.