Individual provider Active NPI

Oswaldo Terriquez

  • Counselor
  • San Marcos, CA
National Provider Identifier
1891167102
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CCAPP RADT-1 Issued in CA
Practice address
340 Rancheros Dr Ste 166
San Marcos, CA 92069-2980
Phone
(760) 744-3672
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CCAPP RADT-1 CA Primary

Addresses

Primary practice location

340 Rancheros Dr Ste 166
San Marcos, CA 92069-2980

Mailing address

340 Rancheros Dr Ste 166
San Marcos, CA 92069-2980
Phone (760) 744-3672

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CCAPP RADT-1CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1891167102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RANCHEROS DR STE 166",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692980",
            "telephone_number": "760-744-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RANCHEROS DR STE 166",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692980",
            "telephone_number": "760-744-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRIQUEZ",
        "first_name": "OSWALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "CCAPP RADT-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.