Individual provider Active NPI

Terri Lea Riddiford, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1649279498
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35064414 Issued in OH
Practice address
13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone
(937) 396-2880
Fax
(937) 395-2205
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35064414 OH Primary

Addresses

Primary practice location

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664

Mailing address

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (877) 658-2244

Other practice location 1

9461 Creighton Dr
Powell, OH 43065-8010
Phone (877) 658-2244

Other practice location 2

8701 Old Troy Pike
Suite 240
Huber Heights, OH 45424-1066
Phone (937) 396-2880

Other identifiers 3

IdentifierTypeStateIssuer
4208215OtherOHAETNA
000000560895OtherBCBS OHIO
0928401MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, IL, AL, WI, LA, TX, FL, NY, PA, DC, CA12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20040825000111 OH Practitioner - Family Practice 9931173911 Reassigns benefits to 4 organizations
I20230124002791 MI Practitioner - Family Practice 9931173911 Reassigns benefits to 1 organization
I20230201000615 IL Practitioner - Family Practice 9931173911 Reassigns benefits to 1 organization
I20230419002451 AL Practitioner - Family Practice 9931173911
I20230421001950 WI Practitioner - Family Practice 9931173911
I20230422000075 LA Practitioner - Family Practice 9931173911
I20230606000592 TX Practitioner - Family Practice 9931173911 Reassigns benefits to 1 organization
I20230911003735 FL Practitioner - Family Practice 9931173911 Reassigns benefits to 1 organization
I20231002000487 NY Practitioner - Family Practice 9931173911 Reassigns benefits to 1 organization
I20231004002691 PA Practitioner - Family Practice 9931173911 Reassigns benefits to 1 organization
I20231101001440 DC Practitioner - General Practice 9931173911 Reassigns benefits to 1 organization
I20240102004128 CA Practitioner - Family Practice 9931173911

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mdwatch Medical CorpGroup PAC ID 3870992670, 9 clinicians

Practice addresses (Care Compare)

Powell, OH 43065
Phone (877) 257-0637

Houston, TX 77044
Phone (877) 257-0637

10304 Eaton Place
Suite 100 1011
Fairfax, VA 22030-2203
Phone (888) 202-9960

1350 Ave of the Americas
FL 2 1003
New York, NY 10019-4702
Phone (888) 202-9960

1500 Chestnut St
Suite 1659
Philadelphia, PA 19102-2737
Phone (888) 202-9960

1755 Park St
Suite 200
Naperville, IL 60563-8404
Phone (888) 202-9960

Hospital & facility affiliations

  • Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35064414OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Feb 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 11, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 11, 2022 Accepting new patients
Mdwatch Ca, PC Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Doctors Urgent Care Offices Medical Group Inc PastSince Oct 1, 2003 Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients
Telehealth Solution PLLC Past Accepting new patients
Medical Service Associates of Xenia Inc Family Medicine Past Accepting new patients

Locations

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1649279498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "937-396-2880",
            "fax_number": "937-395-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9461 Creighton Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430658010",
            "country_code": "US",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 Old Troy Pike",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241066",
            "country_code": "US",
            "telephone_number": "937-396-2880",
            "fax_number": "937-396-2205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDIFORD",
        "first_name": "TERRI",
        "middle_name": "LEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35064414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4208215",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OHIO",
            "identifier": "000000560895",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.