DR. THEODORE H TERUYA MD NPI 1538233572

NPI Information

NPI: 1538233572
Provider Name: DR. THEODORE H TERUYA, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: FACULTY PHYSICIANS AND SURGEONS OF LLUSM

PECOS Registration: Yes

Address:
11370 ANDERSON ST
SUITE 2100
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-2126
Get Directions

DR. Theodore H Teruya, MD is a vascular surgery surgery in Loma Linda, CA with 29 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Theodore H Teruya, MD NPI is 1538233572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

11370 ANDERSON ST
SUITE 2100
LOMA LINDA, CA
ZIP 92354-450
Phone: (909) 558-2126
Fax: (909) 558-2401

The NPI 1538233572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		10795	HAWAII	No
2	2086S0129X	Surgery	Vascular Surgery	10795	HAWAII	No
3	2086S0129X	Surgery	Vascular Surgery	A71912	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H45556	MEDICARE UPIN
2	57610	MEDICARE ID-TYPE UNSPECIFIED
3	517420	OTHER		HMA NEW
4	990287995	OTHER		HMA
5	990287995	OTHER		AETNA
6	990287995	OTHER		UHA
7	990287995	OTHER		UHC
8	990287995	OTHER		HMAA
9	990287995	OTHER		PAC ADMIN
10	990287995	OTHER		CYRCA
11	MD10795	OTHER		MDX
12	990287995	OTHER		TRICARE
13	0000249011	OTHER		HMSA
14	990287995	OTHER		DMBA
15	990287995	OTHER		HPMR
16	990287995	OTHER		VET ADMIN
17	55759801	MEDICAID	HAWAII
18	55759801	OTHER		ALOHACARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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