Individual provider Active NPI

Maureen Cathy Terrazano, M.D.

  • Psychiatry Physician
  • Perris, CA
National Provider Identifier
1942341920
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G 73113 Issued in CA
Practice address
450 E San Jacinto Ave Ste 100
Perris, CA 92571-2833
Phone
(951) 443-2200
Fax
(951) 443-2200
NPI assigned
Feb 10, 2007
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G73113 CA
Psychiatry Physician 2084P0800X G 73113 CA Primary

Addresses

Primary practice location

450 E San Jacinto Ave Ste 100
Perris, CA 92571-2833

Mailing address

450 E San Jacinto Ave Ste 100
Perris, CA 92571-2833
Phone (951) 443-2200

Other practice location 1

650 N State St
Hemet, CA 92543-2960
Phone (951) 791-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mcterrazano@ruhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73113CAMDPharmacist
G 73113CAMDPsychiatry Physician
G73113CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Aug 24, 2009 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
County of Riverside CurrentSince Aug 24, 2009 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Feb 27, 2019 Accepting new patients

Locations

1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142

650 N State St
Hemet, CA 92543
Phone (951) 791-3300

1688 N Perris Blvd
Ste L11
Perris, CA 92571
Phone (951) 443-2200

3544 30th St
San Diego, CA 92104
Phone (619) 515-2424

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 5

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": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1942341920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E SAN JACINTO AVE STE 100",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712833",
            "telephone_number": "951-443-2200",
            "fax_number": "951-443-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SAN JACINTO AVE STE 100",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712833",
            "telephone_number": "951-443-2200",
            "fax_number": "951-443-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 N State St",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925432960",
            "country_code": "US",
            "telephone_number": "951-791-3300",
            "fax_number": "951-791-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRAZANO",
        "first_name": "MAUREEN",
        "middle_name": "CATHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G73113",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G 73113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mcterrazano@ruhealth.org",
            "affiliation": "N",
            "endpointDescription": "office e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "450 E San Jacinto Ave Ste 100",
            "city": "Perris",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925712833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

Verify at the official NPI Registry.