Individual provider Active NPI

Teri L. Calhoun, PA

  • Medical Physician Assistant
  • Salinas, CA
National Provider Identifier
1780853341
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14602 Issued in CA
Practice address
1140 Abbott St
Salinas, CA 93901-4503
Phone
(831) 422-2188
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA14602 CA
Physician Assistant 363A00000X PA05575 TX
Medical Physician Assistant 363AM0700X PA05575 TX
Medical Physician Assistant 363AM0700X PA14602 CA Primary

Addresses

Primary practice location

1140 Abbott St
Salinas, CA 93901-4503

Mailing address

319 N Church St
Visalia, CA 93291-5008
Phone (855) 733-7772

Other identifiers 1

IdentifierTypeStateIssuer
HG805ZOtherCAPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teri.calhoun@ecwellness.net Direct

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14602CAMDFamily Medicine Physician
PA05575TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Corporate Medical Services Inc. Family Medicine CurrentSince May 9, 2021 Accepting new patients
Rto Systems Inc. CurrentSince Oct 27, 2019 Accepting new patients
Fred E Griffiths Past Accepting new patients

Locations

319 N Church St
Visalia, CA 93291
Phone (559) 733-7772

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1780853341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N CHURCH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915008",
            "telephone_number": "855-733-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ABBOTT ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014503",
            "telephone_number": "831-422-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "TERI",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA14602",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05575",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05575",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HG805Z",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teri.calhoun@ecwellness.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1140 Abbott St",
            "city": "Salinas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939014503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.