MEDICARE: TERRANCE L MAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1275897944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRANCE L MAY

Provider Business Mailing Address
First Line	:	2035 FAIRMONT DR
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-1088
Country	:	US
Telephone Number	:	510-346-7832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1360 MISSION ST FL 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2647
Country	:	US
Telephone Number	:	628-217-7700
Fax Number	:	628-217-7705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	05/25/2023

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Directions to “ TERRANCE L MAY ” Practice Location

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