Mika Teragouchi, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86211310 Issued in CA

Practice address

1041 Rose Ave
Selma, CA 93662-3240

Phone

(559) 856-6090

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reedley Community Hospital

  dba Adventist Health Reedley

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment NPD
• Reedley Community Hospital

  dba Adventist Health Reedley

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1821699620
  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1518795731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623240",
            "telephone_number": "559-856-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAGOUCHI",
        "first_name": "MIKA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86211310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tae Woo Kwon, DDS, Inc
• Lul Musaid Taher Bubak, RD
• Jennifer Garcia Tarazon, FNP-C
• Etsehiwot Taye, MD
• Teklebrhan Brhane Teklehaimanot
• The Meadows Senior Living Inc.
• The Summit Physical Therapy, Inc. (The Summit PT)
• Gerald Lynn Thomas, PHARM.D.
• Kayla Nicole Thompson, PH.D
• Thrifty Payless Inc (Rite Aid Pharmacy 05860)

• Registered Dietitian in Selma, CA
• Providers in Selma, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.