Individual provider Active NPI

Merry Lynn Tetef, M.D.

  • Hematology & Oncology Physician
  • Laguna Hills, CA
National Provider Identifier
1194784785
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G64196 Issued in CA
Practice address
24302 Paseo de Valencia Ste 200
Laguna Hills, CA 92653-3115
Phone
(949) 458-8252
Fax
(949) 588-8252
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G64196 CA Primary

Addresses

Primary practice location

24302 Paseo de Valencia Ste 200
Laguna Hills, CA 92653-3115

Mailing address

24302 Paseo de Valencia Ste 200
Laguna Hills, CA 92653-3115
Phone (949) 458-8252

Other identifiers 1

IdentifierTypeStateIssuer
1194784785MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G64196CAMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: mtetef53663@direct.uclahealth.org

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1194784785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24302 PASEO DE VALENCIA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533115",
            "telephone_number": "949-458-8252",
            "fax_number": "949-588-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 PASEO DE VALENCIA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533115",
            "telephone_number": "949-458-8252",
            "fax_number": "949-588-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETEF",
        "first_name": "MERRY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G64196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194784785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.