Healthcare Provider Details

I. General information

NPI: 1922851294
Provider Name (Legal Business Name): THOMAS T TERRAMANI MD INC A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8860 CENTER DR STE 450
LA MESA CA
91942-7001
US

IV. Provider business mailing address

9245 TWIN TRAILS DR UNIT 720040
SAN DIEGO CA
92129-2692
US

V. Phone/Fax

Practice location:
  • Phone: 619-460-6200
  • Fax: 619-460-6262
Mailing address:
  • Phone: 858-899-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS TERRAMANI
Title or Position: OWNER
Credential: MD
Phone: 619-460-6200