Therese Marie Tedrow, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA62976 Issued in CA

Practice address

332 Santa Fe Dr Ste 110
Encinitas, CA 92024-5143

Phone

(760) 943-6700

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William C Eves M D IncGroup PAC ID 4880892314, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pacific Point HCS Inc Home health agency, San Diego, CA, CCN 059260

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• William C Eves M D Inc

  • Orthopaedic Surgery Physician
  • Chula Vista, CA
  • NPI 1285798033
  Medicare reassignment Care Compare group NPD

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

• Pacific Point HCS, Inc.

  • Home Health Agency
  • San Diego, CA
  • NPI 1588261788
  Care Compare affiliation

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1831879287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CONCORD PL",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691188",
            "telephone_number": "760-826-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DR STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245143",
            "telephone_number": "760-943-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Concord Pl",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920691188",
            "country_code": "US",
            "telephone_number": "760-826-9961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDROW",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Catherine Taylor, PTA
• Diarra Taylor
• Kimberley Jean Taylor, L.AC
• Michael P Taylor, P.T., M.B.A.
• Golenaz Tazari, AMFT
• Phildrich G Teh, M.D., M.S.
• Tejeda Medical Corporation
• Sydney Tenney
• Gregory C. Teregis, M.D.
• Amanda R. Terry, M.D.

• Physician Assistant in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.