Terence Degan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54148 Issued in CA

Practice address

1216 Suncast LN
Ste 1
El Dorado Hills, CA 95762-9668

Phone

(916) 933-5028

Fax

(916) 933-8747

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: terence.degan.1@14789.direct.athenahealth.com

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1801891197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SUNCAST LN",
            "address_2": "STE 1",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629668",
            "telephone_number": "916-933-5028",
            "fax_number": "916-933-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SUNCAST LN",
            "address_2": "STE 1",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629668",
            "telephone_number": "916-933-5028",
            "fax_number": "916-933-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAN",
        "first_name": "TERENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287735",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.