Healthcare Provider Details

I. General information

NPI: 1255793295
Provider Name (Legal Business Name): NAOMI NATALIE TERAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WILLOW PASS RD STE 200
CONCORD CA
94520-5823
US

IV. Provider business mailing address

1420 WILLOW PASS RD STE 200
CONCORD CA
94520-5823
US

V. Phone/Fax

Practice location:
  • Phone: 925-646-5480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA152623
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberA152623
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: