Individual provider Active NPI

Teresa Crisostomo Raras, MD

  • Psychiatry Physician
  • Modesto, CA
National Provider Identifier
1962572743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A87653 Issued in CA
Practice address
1501 Claus Rd
Modesto, CA 95355-9711
Phone
(209) 558-4639
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A87653 CA Primary

Addresses

Primary practice location

1501 Claus Rd
Modesto, CA 95355-9711

Mailing address

1501 Claus Rd
Modesto, CA 95355-9711
Phone (209) 558-4639

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
I20041004000512 CA Practitioner - Psychiatry 8820057151 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87653CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Stanislaus CurrentSince Apr 25, 2016 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Oct 26, 2015 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Oct 26, 2015 Accepting new patients
Telecare Corporation Past Accepting new patients

Locations

2760 3rd St
Ceres, CA 95307
Phone (209) 537-4813

707 14th St
Modesto, CA 95354
Phone (209) 525-5401

500 N 9th St
Ste B
Modesto, CA 95350
Phone (209) 341-1824

500 N 9th St
Ste A
Modesto, CA 95350
Phone (209) 525-5300

800 Scenic Dr
Modesto, CA 95350
Phone (209) 525-5369

1301 G St
Modesto, CA 95354
Phone (209) 558-4238

621 14th St
Ste 3
Modesto, CA 95354
Phone (209) 569-0373

1501 Claus Rd
Modesto, CA 95355
Phone (209) 557-6300

1321 I St
Modesto, CA 95354
Phone (209) 525-6252

1321 I St
Ste 3
Modesto, CA 95354
Phone (209) 525-6252

500 9th St
Ste A
Modesto, CA 95354
Phone (209) 558-4610

122 S 4th St
Patterson, CA 95363
Phone (209) 892-8787

2101 Geer Rd
Ste 120
Turlock, CA 95382
Phone (209) 558-4598

Organizations & group practices 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962572743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-558-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-558-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARAS",
        "first_name": "TERESA",
        "middle_name": "CRISOSTOMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A87653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.