Terence Degan, MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54148 Issued in CA

Legal business name

TERENCE DEGAN, MD, INC

Practice address

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

Phone

(916) 933-5028

Fax

(916) 933-8747

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Terence Degan, M.D.

Title

Manager

Phone

(916) 933-5028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1871835785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SUNCAST LN",
            "address_2": "SUITE 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": "SUITE 1",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629668",
            "telephone_number": "916-933-5028",
            "fax_number": "916-933-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE DEGAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "DEGAN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-933-5028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.