Terence Gan, M.D., a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TERENCE GAN, M.D., A PROFESSIONAL CORPORATION

Doing business as

Medprov

Practice address

2036 Hornblend St FL 2
San Diego, CA 92109-4638

Phone

(619) 206-0081

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Hayden Moser

Title

Billing Director

Phone

(949) 446-6280

Specialties & licenses 2

Addresses

Other names 1

• Medprov Doing business as

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1386514057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 HORNBLEND ST FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 HORNBLEND ST FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094638",
            "telephone_number": "619-206-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE GAN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "949-446-6280"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medprov",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lanelle N Teran, ASW
• Rafael Teran
• Emmanuel Terbio
• Immanuel Yu Terbio, DPT
• Terence B. Pegel D.D.S. Inc.
• Teresa Beckwith, Lac
• Teresa Dudarewicz MD, Inc.
• Teresa McCormack Lactation Support LLC
• Danny R. Terhorst, MD
• Teri Inc.

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.