NPI Code Details Logo

NPI 1528509064

NPI 1528509064 : DAWN M TERASHITA, PC : ROSEVILLE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528509064
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DAWN M TERASHITA, PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/16/2017
-----------------------------------------------------
    Last Update Date     |    01/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    700 SUNRISE AVE SUITE H
-----------------------------------------------------
    City                 |    ROSEVILLE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95661
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-358-8648
-----------------------------------------------------
    Fax                  |    877-877-6875
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4343 EAST OUTLIER BLV. SUITE 100W
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85008-6507
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-358-8648
-----------------------------------------------------
    Fax                  |    877-877-6875
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL BILLING SPECIALIST
-----------------------------------------------------
    Name                 |     JUANA  SLACK 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    480-646-9086
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.