Individual provider Active NPI

Teresita Te Saylor, M.D.

  • Specialist
  • Long Beach, CA
National Provider Identifier
1780631309
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A44632A Issued in CA
Practice address
4056 Orange Ave
Long Beach, CA 90807-3717
Phone
(562) 424-3328
Fax
(562) 513-1958
NPI assigned
May 28, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X A44632A CA
Specialist 174400000X A44632A CA Primary

Addresses

Primary practice location

4056 Orange Ave
Long Beach, CA 90807-3717

Mailing address

6742 Halifax Dr
Huntington Beach, CA 92647-2658
Phone (714) 894-9119

Other identifiers 1

IdentifierTypeStateIssuer
00A446320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000497 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3577567486 Practice locations: Westminster, CA; Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Hospital Cir
Westminster, CA 92683-3910
Phone (714) 893-4541

2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2500

3355 Pacific PL
Long Beach, CA 90806-1239
Phone (562) 595-4336

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44632ACAMDLegal Medicine

Hospital & facility affiliations 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1780631309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 HALIFAX DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472658",
            "telephone_number": "714-894-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-424-3328",
            "fax_number": "562-513-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLOR",
        "first_name": "TERESITA",
        "middle_name": "TE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A44632A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44632A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A446320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.