DR. THERESA DE JESUS PATTUGALAN MD
NPI 1558567164
General Practice in Sacramento, CA

Q: What is Theresa Pattugalan's NPI number?

The NPI number for Theresa Pattugalan is 1558567164. It was assigned to this individual provider in the NPPES registry on June 21, 2007. The provider is also known as Theresa Tran Dejesus.

Q: What is Theresa Pattugalan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 21, 2007PECOS Enrolled

6600 BRUCEVILLE RD, SACRAMENTO, CA 95823(916) 688-6800(916) 688-6800 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Theresa De Jesus Pattugalan Md NPPES

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

DR. THERESA DE JESUS PATTUGALAN MD (NPI 1558567164) is an individual general practice provider in Sacramento, California, licensed in Delaware (C10009417) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558567164

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. THERESA DE JESUS PATTUGALANCredential: MD

Location Address6600 BRUCEVILLE RDSacramento, CA 95823-4671

Mailing Address6600 Bruceville RdSacramento, CA 95823-4671 · (916) 688-6800 · Fax (916) 688-6800

Phone(916) 688-6800

Fax(916) 688-6800

Sole ProprietorNo

Enumeration DateJune 21, 2007

Last NPPES UpdateJanuary 10, 2022

✔ NPI 1558567164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in DE · C10009417

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6600 BRUCEVILLE RD, Sacramento, CA 95823

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Other Names 1

Other Name (5)Theresa Tran Dejesus

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theresa De Jesus Pattugalan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON KENTERA CRNA

Nurse Anesthetist, Certified Registered