Healthcare Provider Details

I. General information

NPI: 1346291598
Provider Name (Legal Business Name): JOHN TERANDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17284 SLOVER AVE
FONTANA CA
92337-7584
US

IV. Provider business mailing address

17284 SLOVER AVE STE 205 PLM CRT II
FONTANA CA
92337-7584
US

V. Phone/Fax

Practice location:
  • Phone: 909-609-3500
  • Fax:
Mailing address:
  • Phone: 909-609-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA96786
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD70026019
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD226619
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: