Individual provider Active NPI

Teera Chentanez, M.D.

  • Infectious Disease Physician
  • Pleasant Hill, CA
National Provider Identifier
1225230485
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
04-35026 Issued in KS
Practice address
400 Taylor Blvd Ste 102
Pleasant Hill, CA 94523-2147
Phone
(925) 687-2570
Fax
(925) 687-2847
NPI assigned
Jun 1, 2007
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2016017551 MO
Infectious Disease Physician 207RI0200X 04-35026 KS Primary

Addresses

Primary practice location

400 Taylor Blvd Ste 102
Pleasant Hill, CA 94523-2147

Mailing address

2345 Country Hills Dr
Antioch, CA 94509-7319
Phone (925) 418-0282

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
I20190606001400 CA Practitioner - Infectious Disease 1759559677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic CareGroup PAC ID 5890053094, 54 clinicians

Practice addresses (Care Compare)

400 Taylor Blvd
Suite 201
Pleasant Hill, CA 94523-2163
Phone (925) 687-2570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-35026KSMDInfectious Disease Physician
2016017551MOMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Epic Care CurrentSince Aug 1, 2019 Accepting new patients
East Bay Medical Oncology-Hematology Associates, Inc. CurrentSince Aug 1, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Infectious Disease CurrentSince Sep 16, 2019 Accepting new patients
Stormont-Vail Healthcare Inc Past Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients

Locations

2345 Country Hills Dr
Antioch, CA 94509
Phone (925) 418-0278

400 Taylor Blvd
Ste 201
Pleasant Hill, CA 94523
Phone (510) 783-6865

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: tchentanez127787@ehr.johnmuirhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1225230485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COUNTRY HILLS DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097319",
            "telephone_number": "925-418-0282",
            "fax_number": "925-978-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD STE 102",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "925-687-2570",
            "fax_number": "925-687-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENTANEZ",
        "first_name": "TEERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2016017551",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04-35026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.