Individual provider Active NPI

Beatrice Tetteh, M.D.

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1578729422
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A112691 Issued in CA
Practice address
7248 S Land Park Dr Ste 118
Sacramento, CA 95831-3661
Phone
(916) 538-6118
Fax
(916) 706-1657
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A112691 CA Primary

Addresses

Primary practice location

7248 S Land Park Dr Ste 118
Sacramento, CA 95831-3661

Mailing address

7248 S Land Park Dr Ste 118
Sacramento, CA 95831-3661
Phone (916) 538-6118

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112691CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tetteh Pediatric Health, Inc. Pediatrics Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

8120 Timberlake Way
Ste 207
Sacramento, CA 95823
Phone (916) 688-1600

7248 S Land Park Dr
Ste 118
Sacramento, CA 95831
Phone (916) 391-7200

Interoperability endpoints

  • Direct secure messaging: beatricetetteh.beatricetetteh@140787.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1578729422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 118",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-538-6118",
            "fax_number": "916-706-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 118",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-538-6118",
            "fax_number": "916-706-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "BEATRICE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A112691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.