Active NPI
Theresa Ann Cyr, D.O.
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1205935715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9225
- Practice address
- 3706 Ruffin Rd
Ste 129
San Diego, CA 92123-1812 - Phone
- (858) 587-1822
- Fax
- (858) 587-8967
- NPI assigned
- Sep 21, 2006
- 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 | 20A9225 | CA | Primary |
Addresses
Primary practice location
3706 Ruffin Rd
Ste 129
San Diego, CA 92123-1812
Mailing address
3706 Ruffin Rd
Ste 129
San Diego, CA 92123-1812
Phone (858) 587-1822
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 |
|---|---|---|---|---|
| I20050722000320 | CA | Practitioner - Osteopathic Manipulative Medicine | 7012944937 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3706 Ruffin Rd
San Diego, CA 92123-1812
Phone (858) 587-1822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9225 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1205935715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 RUFFIN RD",
"address_2": "STE 129",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231812",
"telephone_number": "858-587-1822",
"fax_number": "858-587-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 RUFFIN RD",
"address_2": "STE 129",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231812",
"telephone_number": "858-587-1822",
"fax_number": "858-587-8967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYR",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.
- 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.