JOHN TERRY KANEGAYE M.D.
NPI 1689745432
Pediatrics - Pediatric Emergency Medicine in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

Active since November 13, 2006PECOS Enrolled

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8036 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John Terry Kanegaye M.d. NPPES

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

JOHN TERRY KANEGAYE M.D. (NPI 1689745432) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (G67670) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689745432

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameJOHN TERRY KANEGAYECredential: M.D.

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3860 Calle Fortunada, Suite 210San Diego, CA 92123-4800 · (858) 309-6303 · Fax (858) 309-6301

Phone(858) 966-8036

Sole ProprietorNo

Enumeration DateNovember 13, 2006

Last NPPES UpdateDecember 7, 2011

✔ NPI 1689745432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in CA · G67670

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License G67670 (CA)

3020 CHILDRENS WAY, San Diego, CA 92123

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Other Identifiers 1

Medicaid00G676700CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Terry Kanegaye M.d. 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.