Individual provider Active NPI

Terri Felix, M.D.

  • Pediatrics Physician
  • Folsom, CA
National Provider Identifier
1942225693
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A78220 Issued in CA
Practice address
1370 Prairie City Rd
Folsom, CA 95630-9554
Phone
(916) 985-9300
Fax
(916) 355-1215
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A78220 CA Primary

Addresses

Primary practice location

1370 Prairie City Rd
Folsom, CA 95630-9554

Mailing address

1370 Prairie City Rd
Folsom, CA 95630-9554
Phone (916) 985-9300

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000581 CA Practitioner - Pediatric Medicine 0941356117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Stanford University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1370 Prairie City Rd
Folsom, CA 95630-9554
Phone (916) 985-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A78220CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Dec 2, 2022 Accepting new patients
Regents of the University of California CurrentSince Dec 2, 2022 Accepting new patients

Locations

7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000

14264 Innovation Dr
Folsom, CA 95630
Phone (916) 703-2486

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1942225693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 PRAIRIE CITY RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309554",
            "telephone_number": "916-985-9300",
            "fax_number": "916-355-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 PRAIRIE CITY RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309554",
            "telephone_number": "916-985-9300",
            "fax_number": "916-355-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "TERRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A78220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.