Active NPI
Jonathan Terry, D.O.
- Psychiatry Physician
- Pittsburg, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A12657
- Practice address
- 2311 Loveridge Rd
Pittsburg, CA 94565-5117 - Phone
- (925) 431-2600
- NPI assigned
- May 7, 2009
- Last updated
- Jan 5, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A-1579-10 | NM | |
| Psychiatry Physician | 2084P0800X | 20A12657 | CA | Primary |
| General Practice Physician | 208D00000X | 20A12657 | CA | |
| General Practice Physician | 208D00000X | A-1579-10 | NM |
Addresses
Primary practice location
2311 Loveridge Rd
Pittsburg, CA 94565-5117
Mailing address
340 S Lemon Ave Ste 1450
Walnut, CA 91789-2706
Other practice location 1
1781 E Fir Ave Ste 101
Fresno, CA 93720-3865
Phone (559) 326-7775
Other practice location 2
2343 Deauville Cir
Clovis, CA 93619-4292
Phone (559) 326-7775
Other practice location 3
1747 N Jasmine Ave
Clovis, CA 93619-4282
Phone (559) 326-7775
Other practice location 4
7065 N Maple Ave Ste 104
Fresno, CA 93720-8013
Phone (559) 326-7775
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12657 | CA | MD | Psychiatry Physician |
| A-1579-10 | NM | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Meadows Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Residential Treatment Facility
- Clovis, CA
- NPI 1972185031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1841424728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S LEMON AVE STE 1450",
"city": "WALNUT",
"state": "CA",
"postal_code": "917892706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 LOVERIDGE RD",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655117",
"telephone_number": "925-431-2600"
}
],
"practiceLocations": [
{
"address_1": "1781 E Fir Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203865",
"country_code": "US",
"telephone_number": "559-326-7775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2343 Deauville Cir",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936194292",
"country_code": "US",
"telephone_number": "559-326-7775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1747 N Jasmine Ave",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936194282",
"country_code": "US",
"telephone_number": "559-326-7775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7065 N Maple Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937208013",
"country_code": "US",
"telephone_number": "559-326-7775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2021-01-05",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "A-1579-10",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A12657",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A12657",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "A-1579-10",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.