CARMEN TERREROS MD INC
NPI 1275649642
Family Medicine in Santa Ana, CA

Active since August 21, 2006CLIA 05D1038578 · Waiver
801 NORTH TUSTIN AVENUE, SUITE 607, SANTA ANA, CA 92705(714) 541-4145(714) 541-5862 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carmen Terreros Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN TERREROS MD INC (NPI 1275649642) is a healthcare organization registered as a family medicine in Santa Ana, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Carmen E Terreros, Director, as its authorized official.

NPPES Registry Identity

NPI1275649642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARMEN TERREROS MD INC
Location Address801 NORTH TUSTIN AVENUE, SUITE 607Santa Ana, CA 92705-3610
Mailing Address801 N Tustin, Suite 607Santa Ana, CA 92705-3610 · (714) 541-4145 · Fax (714) 541-5862
Fax(714) 541-5862
Organization SubpartNo
Authorized OfficialCarmen E TerrerosDirector · (714) 541-4145
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275649642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A70383
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
801 NORTH TUSTIN AVENUE, Santa Ana, CA 92705

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Terreros Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050310000392Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carmen Terreros MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1093975229
801 N TUSTIN AVE SUITE 607
Santa Ana, CA 92705
(714) 541-4145
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1038578

Carmen Terreros MD Inc · Santa Ana, CA
Active · expires Mar 21, 2027
CLIA Number05D1038578
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorCarmen E. Terreros MD
Laboratory Phone(714) 541-4145
Laboratory LocationCarmen Terreros MD Inc801 N Tustin Suite 607, Santa Ana, CA 92705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Terreros MD Inc's NPI number?

The NPI number for Carmen Terreros MD Inc is 1275649642. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Carmen Terreros MD Inc located?

Carmen Terreros MD Inc is located at 801 North Tustin Avenue Suite 607, Santa Ana, CA 92705. The listed phone number is (714) 541-4145.

What is Carmen Terreros MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carmen Terreros MD Inc enrolled in Medicare?

Yes. Carmen Terreros MD Inc is registered in the Medicare PECOS enrollment system.

When is Carmen Terreros MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Carmen Terreros MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Carmen Terreros MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carmen Terreros MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1038578) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carmen Terreros MD Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.