William Richard Teresa

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4401 Elenda St
Culver City, CA 90230-4101

Phone

(310) 664-7788

NPI assigned

Sep 13, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Venice Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Culver City, CA
  • NPI 1417490236
  NPD

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1629949706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 4TH ST APT 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053662",
            "telephone_number": "310-995-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ELENDA ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304101",
            "telephone_number": "310-664-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERESA",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Templeton
• Tender Loving Care Medical Social Worker Agency, Inc.
• Dustin Teng
• Sona Ter-Yegishyan
• Teresa Gonzalez Reder DDS, Inc.
• Mary Meagan Quenga Terlaje, M.A., CF-SLP
• Terraza Court Senior Living LLC
• Katarina Terzyan
• Blessing Onosen Thames
• Gigi Douachi Thao

• Student in an Organized Health Care Education/Training Program in Culver City, CA
• Providers in Culver City, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; 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.