TERI, INC (NPI# 1962488007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962488007 |
| Entity Type | Organization |
| Organization Name | TERI, INC |
| Practice Address |
251 Airport Rd Oceanside CA 92058-1201 |
| Practice Telephone | 7607211706 |
| Practice Fax Number | 7607219872 |
| Mailing Telephone | 7607211706 |
| Mailing Fax Number | 7607219872 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | MRS. CHERYL KILMER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7607211706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 310500000X | Intermediate Care Facility, Mental Illness | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60324F | 05 | |
| CA | LTC60482F | 05 | |
| CA | LTC60036F | 05 | |
| CA | LTC60524F | 05 | |
| CA | LTC60039F | 05 | |
| CA | LTC61079F | 05 | |
| CA | LTC60100F | 05 | |
| CA | LTC60037F | 05 | |
| CA | LTC60097F | 05 | |
| CA | LTC60038F | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9606 Tierra Grande St Ste 107, San Diego, CA 921266501 | 8586959415 |
| Street Address |
251 AIRPORT RD |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201301 | Quinton Villaverde | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2020-06-30 |
| 1871130872 | Isabel Delarosa | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-12-09 |
| 1245877240 | Ivan Pena | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-12-09 |
| 1881231884 | Luis Josue Nevarez | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-12-09 |
| 1770120776 | Homera Noori | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-12-09 |
| 1134760101 | Nicole Felix | Behavioral Analyst | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-10-01 |
| 1407418031 | Kaitlin Thompson | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-07-03 |
| 1679135206 | Jeremiah Mitchell | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-07-03 |
| 1568022069 | Jovannie Johnson | Behavior Technician | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-06-17 |
| 1851959142 | Katherine Burbridge | Specialist/Technologist | 251 Airport Rd, Oceanside, CA 92058-1201 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194071142 | Crf | Intermediate Care Facility, Mental Illness | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2012-07-27 |
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|---|---|---|---|---|
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| 1346711504 | Cedacal, LLC. | Intermediate Care Facility, Mental Illness | 5663 Cedarglen Dr, Azusa, CA 91702-5007 | 2018-12-16 |
| 1396213302 | Amazing Grace Oasis II | Intermediate Care Facility, Mental Illness | 8708 Bridgeport Ave, Hesperia, CA 92344-5562 | 2018-11-07 |
| 1972081651 | Oc Care Centers, Inc. | Intermediate Care Facility, Mental Illness | 127 N Queensbury St, Anaheim, CA 92806-3814 | 2018-08-03 |
| 1659858868 | Athina Kamar | Intermediate Care Facility, Mental Illness | 5826 Jumilla Ave, Woodland Hills, CA 91367-5604 | 2018-07-20 |
| 1447758024 | Crestwood Behavioral Health Inc | Intermediate Care Facility, Mental Illness | 450 Stanyan St Fl 5, San Francisco, CA 94117-1019 | 2018-01-29 |
| 1376067439 | Alacar. Inc | Intermediate Care Facility, Mental Illness | 4640 E Kaviland Ave, Fresno, CA 93725-1632 | 2017-07-31 |
| 1912358904 | American Helath Services | Intermediate Care Facility, Mental Illness | 1524 W 227th St Apt 1, Torrance, CA 90501-4917 | 2016-06-30 |
| 1639547896 | Arcaida Home Care & Staffing | Intermediate Care Facility, Mental Illness | 1090 E Cypress Ave, Suite B, Redding, CA 96002-1163 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.