Active NPI
Arthur Ray Teodosio Jr., RW2447
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1285964130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 101YP2500X
- Practice address
- 7020 Friars Rd
San Diego, CA 92108-1126 - Phone
- (619) 718-9890
- NPI assigned
- Dec 28, 2009
- Last updated
- Dec 28, 2009
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YP2500X | CA | Primary |
Addresses
Primary practice location
7020 Friars Rd
San Diego, CA 92108-1126
Mailing address
7020 Friars Rd.
San Diego, CA 92108
Phone (858) 668-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YP2500X | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1285964130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 FRIARS RD.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "858-668-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7020 FRIARS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081126",
"telephone_number": "619-718-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEODOSIO",
"first_name": "ARTHUR",
"middle_name": "RAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RW2447",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-28",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "101YP2500X",
"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 Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.