Active NPI
Terry Lee Mayo, RN
- Registered Nurse
- San Diego, CA
National Provider Identifier
1760749709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 559923
- Practice address
- 4283 El Cajon Blvd
Suite 115
San Diego, CA 92105-1289 - Phone
- (619) 521-1743
- Fax
- (619) 521-1896
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 559923 | CA | Primary |
Addresses
Primary practice location
4283 El Cajon Blvd
Suite 115
San Diego, CA 92105-1289
Mailing address
4283 El Cajon Blvd
Suite 115
San Diego, CA 92105-1289
Phone (619) 521-1743
Other names 1
- Mr. Terry Lee Mayo
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559923 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1760749709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4283 EL CAJON BLVD",
"address_2": "SUITE 115",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051289",
"telephone_number": "619-521-1743",
"fax_number": "619-521-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4283 EL CAJON BLVD",
"address_2": "SUITE 115",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051289",
"telephone_number": "619-521-1743",
"fax_number": "619-521-1896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "559923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "MAYO",
"middle_name": "LEE",
"prefix": "MR.",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.