Active NPI
Dawn M. Terashita, PC
- Public Health & General Preventive Medicine Physician
- Anaheim, CA
National Provider Identifier
1497272058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- DAWN M. TERASHITA, PC
- Practice address
- 300 S Harbor Blvd.
Suite 720
Anaheim, CA 92805-3733 - Phone
- (657) 230-7891
- Fax
- (877) 877-6875
- NPI assigned
- Aug 24, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Paul Fishburn
- Title
- Chief Operating Officer
- Phone
- (480) 646-9020
National Provider Directory
National Provider Directory- Tax ID family
- Dawn M Terashita PC
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Locations
300 S Harbor Blvd
Ste 720
Anaheim, CA 92805
Phone (657) 230-7891
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
300 S Harbor Blvd.
Suite 720
Anaheim, CA 92805-3733
Mailing address
668 N 44TH St
Suite 100W
Phoenix, AZ 85008-6507
Phone (877) 358-8648
Other names 1
NPPES NPI Registry- Passport Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2022.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1497272058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 N 44TH ST",
"address_2": "SUITE 100W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086507",
"telephone_number": "877-358-8648",
"fax_number": "877-877-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S HARBOR BLVD.",
"address_2": "SUITE 720",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053733",
"telephone_number": "657-230-7891",
"fax_number": "877-877-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN M. TERASHITA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "FISHBURN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "480-646-9020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.