Terry Lee Pelayo, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA22947 Issued in CA

Practice address

2022 Jewell LN
Redding, CA 96001-4823

Phone

(408) 439-1177

NPI assigned

Apr 24, 2013

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.ethizo.com/api/4.0.0

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.

• Enloe Medical Center

  dba Enloe Orthopedic Trauma Clinic

  • Orthopaedic Surgery Physician
  • Chico, CA
  • NPI 1770905994
  Medicare reassignment NPD
• Shasta Orthopedics & Sports Medicine a Medical Corporation

  dba Shasta Orthopaedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Redding, CA
  • NPI 1750493979
  Medicare reassignment
• Norman Michael Verhoog, MD

  • Orthopaedic Surgery Physician
  • Red Bluff, CA
  • NPI 1558388066
  Medicare reassignment
• Enloe Medical Center

  dba Enloe Op Center Pharmacy

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Apogee Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Redding, CA
  • NPI 1912094509
  NPD (past)
• Juniper Healthcare

  • Adult Medicine Physician
  • Redding, CA
  • NPI 1225875123
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1326482068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 JEWELL LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014823",
            "telephone_number": "408-439-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 JEWELL LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014823",
            "telephone_number": "408-439-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAYO",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA22947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stephan Peck, DC
• Camryn Nadene Pecor
• Nathaniel Cole Peery, D.C.
• Justin Peisker
• Trina Pelanconi
• Christa Maureen Pelfrey, PHARM.D.
• Shaundra Pelkey
• Elena Pellitteri
• Alveno Michael Pelonio
• Matthew J Peltz, D.O.

• Surgical Physician Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.