Individual provider Active NPI

Terri-Diann Pickering, MD

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1235228453
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A604860 Issued in CA
Practice address
55 Stevenson St
San Francisco, CA 94105-2936
Phone
(415) 981-2020
Fax
(415) 981-2019
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A604860 CA Primary

Addresses

Primary practice location

55 Stevenson St
San Francisco, CA 94105-2936

Mailing address

55 Stevenson St
San Francisco, CA 94105-2936
Phone (415) 981-2020

Other identifiers 1

IdentifierTypeStateIssuer
00A604860MedicaidCA

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
I20050721000921 CA Practitioner - Ophthalmology 8820025794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew G Iwach MD a Professional CorporationGroup PAC ID 4385617349, 3 clinicians

Practice addresses (Care Compare)

55 Stevenson St
San Francisco, CA 94105-2936
Phone (415) 981-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60486CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A604860CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew G. Iwach MD a Professional Corporation Ophthalmology CurrentSince Mar 31, 1995 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Gary L. Aguilar, M.D. Inc. PastSince Jun 30, 2012 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

55 Stevenson St
San Francisco, CA 94105
Phone (415) 981-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1235228453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STEVENSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052936",
            "telephone_number": "415-981-2020",
            "fax_number": "415-981-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 STEVENSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052936",
            "telephone_number": "415-981-2020",
            "fax_number": "415-981-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "TERRI-DIANN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A604860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A604860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.