Individual provider Active NPI

Jonathan Terry, D.O.

  • Psychiatry Physician
  • Pittsburg, CA
National Provider Identifier
1841424728
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A12657 Issued in CA
Practice address
2311 Loveridge Rd
Pittsburg, CA 94565-5117
Phone
(925) 431-2600
NPI assigned
May 7, 2009
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
20A12657CAMDPsychiatry Physician
A-1579-10NMMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Meadows Behavioral Health PastSince May 16, 2021 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.

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.

Verify at the official NPI Registry.