Active NPI
Teresa Crisostomo Raras, MD
- Psychiatry Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A87653
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87653 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | 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.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1154524445
-
- Clinic/Center
- Turlock, CA
- NPI 1831394998
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1023681301
-
- Community/Behavioral Health Agency
- Turlock, CA
- NPI 1225166739
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1578691903
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1902765993
-
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.