Healthcare Provider Details

I. General information

NPI: 1427465327
Provider Name (Legal Business Name): SHAWN MICHAEL TERAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2014
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 RINGWOOD AVE
SAN JOSE CA
95131
US

IV. Provider business mailing address

1720 RINGWOOD AVE
SAN JOSE CA
95131
US

V. Phone/Fax

Practice location:
  • Phone: 408-988-8581
  • Fax: 408-988-8734
Mailing address:
  • Phone: 408-988-8581
  • Fax: 408-988-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA142885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: