Individual provider Active NPI

Teresa A Neeno, MD

  • Allergy & Immunology Physician
  • Sacramento, CA
National Provider Identifier
1366553273
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G150211 Issued in CA
Practice address
5609 J Street
Suite C
Sacramento, CA 95819
Phone
(916) 453-8696
Fax
(916) 453-8715
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2338 AK
Allergy & Immunology Physician 207K00000X G150211 CA Primary

Addresses

Primary practice location

5609 J Street
Suite C
Sacramento, CA 95819

Mailing address

5609 J Street
Suite C
Sacramento, CA 95819
Phone (916) 453-8696

Other practice location 1

150 Muir Rd
Martinez, CA 94553-4668
Phone (925) 372-2283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101111001519 AK Practitioner - Allergy/Immunology 1850586140 Reassigns benefits to 1 organization
I20230215001211 CA Practitioner - Allergy/Immunology 1850586140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Wisconsin, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1561 Creekside Dr
Suite 130
Folsom, CA 95630-3494
Phone (916) 580-1891

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as individual
Quality
75.75
Promoting interoperability
96
Improvement activities
40
Cost
60.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2338AKMDAllergy & Immunology Physician
G150211CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma and Immunology Center of Alaska LLC Allergy & Immunology CurrentSince Oct 29, 2002 Accepting new patients
Capital Allergy and Respiratory Disease Center a Med Corp CurrentSince Jan 1, 2023 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
Sequoia Health Services Past Accepting new patients

Locations

3841 Piper St
Ste T4-054
Anchorage, AK 99508

3841 Piper St
Ste 74054
Anchorage, AK 99508

3543 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-4543

1561 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 453-8696

1504 Eureka Rd
Ste 150
Roseville, CA 95661
Phone (916) 233-2631

1451 Secret Ravine Pkwy
Ste 150
Roseville, CA 95661
Phone (916) 453-8696

5609 J St
Ste C
Sacramento, CA 95819
Phone (916) 453-8696

Interoperability endpoints

  • Direct secure messaging: teresaneeno@aaica.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1366553273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 J STREET",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-453-8696",
            "fax_number": "916-453-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 J STREET",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-453-8696",
            "fax_number": "916-453-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Muir Rd",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945534668",
            "country_code": "US",
            "telephone_number": "925-372-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEENO",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AK",
            "license": "2338",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G150211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.