Active NPI
Tera Kates
- Women's Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1538515358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 688837
- Practice address
- 12264 El Camino Real
San Diego, CA 92130-3058 - Phone
- (619) 384-8685
- NPI assigned
- May 11, 2016
- Last updated
- May 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 688837 | CA | Primary |
Addresses
Primary practice location
12264 El Camino Real
San Diego, CA 92130-3058
Mailing address
4954 Collingwood Dr
San Diego, CA 92109-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688837 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1538515358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4954 COLLINGWOOD DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921092243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12264 EL CAMINO REAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303058",
"telephone_number": "619-384-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATES",
"first_name": "TERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "688837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
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- Vincent Paul Kater, M.D.
- Adam Joshua Kates
- Megan Thompson Kates, PH.D.
- Katharine Hicks Therapy
- Anup Katheria, M.D.
- Katherine C Tan DMD Inc
- Sulakshandan Kathireson, DC
- Kathleen J. Grace RPT Apc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.