Active NPI
Terrell Pina, CHW
- Community Health Worker
- San Jose, CA
National Provider Identifier
1134031495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2297 Fruitdale Ave
San Jose, CA 95128-3430 - Phone
- (323) 495-8051
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
2297 Fruitdale Ave
San Jose, CA 95128-3430
Mailing address
2297 Fruitdale Ave
San Jose, CA 95128-3430
Phone (323) 495-8051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
-
- Community Health Worker
- San Jose, CA
- NPI 1841000684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1134031495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2297 FRUITDALE AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283430",
"telephone_number": "323-495-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2297 FRUITDALE AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283430",
"telephone_number": "323-495-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "TERRELL",
"credential": "CHW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.