Terra Linda Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TERRA LINDA PEDIATRICS

Practice address

4000 Civic Center Dr
Suite 201
San Rafael, CA 94903-4171

Phone

(415) 479-8642

Fax

(415) 479-2434

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Yamaguchi, M.D.NPI 1437183043

Title

President

Phone

(415) 479-8642

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Yamaguchi, M.D.

  • Pediatrics Physician
  • San Rafael, CA
  • NPI 1437183043
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477587897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "SUITE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-479-8642",
            "fax_number": "415-479-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "SUITE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-479-8642",
            "fax_number": "415-479-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA LINDA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMAGUCHI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-479-8642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric F. Tepper, MD
• Linda Terada-Yamamoto, PHARMD
• Carol Tereszkiewicz, MD
• Nicole Termonfils, PA-C, MPH
• Terra Linda Medical Group
• Melissa Tervet-Da Cunha, MFT
• Kelly Terzis
• Arinn Ashley Testa, PSYD
• Jillian Tetangco
• Nadia Khalil Thalji, MA AND PH.D STUDENT

• Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.